Individual provider Active NPI

Melinda M Hansen, M.D.

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1336408335
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
111037 Issued in AK
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

Updated by the provider on Oct 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161118001701 TX Practitioner - General PracticePractitioner - Psychiatry 4284878562 Reassigns benefits to 1 organization
I20180518001774 AK Practitioner - Psychiatry 4284878562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Native Village of Eyak CurrentSince May 31, 2020 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 23, 2016 Accepting new patients
Alaska Neurology Center LLC CurrentSince Apr 26, 2019 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

  • Direct secure messaging: melindahansen@tdh.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.