Active NPI
Christopher Michael Hansen, M.D.
- Family Medicine Physician
- Fort Walton Beach, FL
National Provider Identifier
1306821293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME82426
- Practice address
- 1005 Mar Walt Dr
Family Practice Department
Fort Walton Beach, FL 32547-6707 - Phone
- (850) 863-6600
- Fax
- (850) 862-0977
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME82426 | FL | Primary |
Addresses
Primary practice location
1005 Mar Walt Dr
Family Practice Department
Fort Walton Beach, FL 32547-6707
Mailing address
1005 Mar Walt Dr
Family Practice Department
Fort Walton Beach, FL 32547-6707
Phone (850) 863-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262285800 | Medicaid | FL | |
| 58957 | Other | FL | BCBSFL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8150
Hospital & facility affiliations
- Centerwell Home Health
- Angels Care Home Health of the Emerald Coast
- HCA Florida Fort Walton-Destin Hospital
- HCA Florida Twin Cities Hospital
- Gulf Breeze Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White-Wilson Medical Center PA | Current | Accepting new patients | |
| Southern Medical Group, Inc | Past | Accepting new patients |
Locations
1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100
Interoperability endpoints
- christopher.hansen.1@21123.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1467437277
-
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1225981707
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1194736009
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Home Health Agency
- Fort Walton Beach, FL
- NPI 1700837572
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1306821293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MAR WALT DR",
"address_2": "FAMILY PRACTICE DEPARTMENT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476707",
"telephone_number": "850-863-6600",
"fax_number": "850-862-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MAR WALT DR",
"address_2": "FAMILY PRACTICE DEPARTMENT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476707",
"telephone_number": "850-863-6600",
"fax_number": "850-862-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME82426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262285800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "58957",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.