Active NPI
Melinda M Hansen, M.D.
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1336408335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 111037
- Practice address
- 4501 Diplomacy Drive
Southcentral Foundation
Anchorage, AK 99508-0000 - Phone
- (907) 729-2500
- NPI assigned
- May 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 111037 | AK | Primary |
Addresses
Primary practice location
4501 Diplomacy Drive
Southcentral Foundation
Anchorage, AK 99508-0000
Mailing address
4501 Diplomacy Drive
Southcentral Foundation
Anchorage, AK 99508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Native Village of Eyak | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Alaska Neurology Center LLC | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Zen Psychiatry LLC | Psychiatry | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
1100 E Dimond Blvd
Anchorage, AK 99515
Phone (907) 565-6000
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
Interoperability endpoints
- melindahansen@tdh.allscriptsdirect.net
- mhansen1162854@ak.providencedirect.org
Organizations & group practices 7
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.
-
- Neurology Physician
- Anchorage, AK
- NPI 1235310954
-
- Clinic/Center
- Cordova, AK
- NPI 1134471287
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- Multi-Specialty Clinic/Center
- Anchorage, AK
- NPI 1255881637
-
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1386680056
-
- Psychiatry Physician
- Parsippany, NJ
- NPI 1740951029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1336408335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 DIPLOMACY DRIVE",
"address_2": "SOUTHCENTRAL FOUNDATION",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 DIPLOMACY DRIVE",
"address_2": "SOUTHCENTRAL FOUNDATION",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995080000",
"telephone_number": "907-729-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MELINDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "111037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.