Active NPI
Jennifer Christine Hanson, DNP
- Family Nurse Practitioner
- Black River Falls, WI
National Provider Identifier
1356821490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8579-33
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viaro LLC | Current | 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
- 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.
-
- General Practice Physician
- La Crosse, WI
- NPI 1609515865
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.