Individual provider Active NPI

Jennifer Christine Hanson, DNP

  • Family Nurse Practitioner
  • Black River Falls, WI
National Provider Identifier
1356821490
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8579-33 Issued in WI
Practice address
711 W Adams St
Black River Falls, WI 54615-9108
Phone
(715) 284-5361
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8579-33 WI Primary

Addresses

Primary practice location

711 W Adams St
Black River Falls, WI 54615-9108

Mailing address

N8739 County Road VV
Mindoro, WI 54644-8701
Phone (608) 792-7748

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenniferhanson@brmh.cernerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 25, 2025 through Apr 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viaro LLC CurrentSince May 7, 2024 Accepting new patients

Locations

333 Front St N
La Crosse, WI 54601
Phone (608) 519-4452

230 Pine St
La Crosse, WI 54601
Phone (608) 668-2103

Interoperability endpoints

  • Direct secure messaging: jennifer.hanson.1@29082.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1356821490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8739 COUNTY ROAD VV",
            "city": "MINDORO",
            "state": "WI",
            "postal_code": "546448701",
            "telephone_number": "608-792-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W ADAMS ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159108",
            "telephone_number": "715-284-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8579-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenniferhanson@brmh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "BRMH",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Direct to EHR",
            "address_1": "711 W Adams St",
            "city": "Black River Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546159108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.