Kylie Hansen, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1000014-NP Issued in CO

Practice address

1605 Sheridan Blvd Unit 160
Lakewood, CO 80214-1747

Phone

(973) 879-1797

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Spa PCGroup PAC ID 9032507926, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mind Spa Inc

  • Adult Mental Health Clinic/Center
  • Greenwood Village, CO
  • NPI 1295408789
  Medicare reassignment Care Compare group NPD
• Iron Will Holdings, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Greenwood Village, CO
  • NPI 1316882830
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1356168686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SHERIDAN BLVD UNIT 160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802143016",
            "telephone_number": "973-879-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SHERIDAN BLVD UNIT 160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141747",
            "telephone_number": "973-879-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KYLIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1000014-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Hanley
• Amy Anne Hansen, LPC
• Dan L Hansen, DDS
• Jordain Hansen
• Katelyn Hansen
• Leann G Hansen, LCSW
• Logan Hansen
• Mary Creer Hansen, PH.D.
• Michelle Hansen, LSW
• Patty Stahle Hansen, RXN CNS

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.