Hansen Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HANSEN MEDICAL LLC

Doing business as

Simplified Health DPC

Practice address

4803 W Highland Knolls Rd Ste 150
Rogers, AR 72758-6255

Phone

(479) 337-7521

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Blake Hansen, DONPI 1285080853

Title

Physician

Phone

(479) 337-7521

Specialties & licenses 1

Addresses

Other names 1

• Simplified Health DPC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Hansen, D.O.

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1285080853
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1336824531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 W HIGHLAND KNOLLS RD STE 150",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727586255",
            "telephone_number": "479-337-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 W HIGHLAND KNOLLS RD STE 150",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727586255",
            "telephone_number": "479-337-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-337-7521",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simplified Health DPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chrystal Hankins, MSOT, OTR/L
• Janie Katherine Hankins, M.S., CCC-SLP
• Merideth Karen Hanks, APN
• Vera Caroline Ann Hanna, APRN
• Martin A Hannon, MD
• Adrienne Hansen, M.S. CCC-SLP
• Blake Hansen, D.O.
• Kylee N Hansen
• Scott Eric Hansen, PHARM. D
• Mia Hanson

• Primary Care Clinic/Center in Rogers, AR
• Providers in Rogers, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.