Individual provider Active NPI

Eric C Hansen, MD

  • Obstetrics & Gynecology Physician
  • Evanston, WY
National Provider Identifier
1366500449
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6429A Issued in WY
Practice address
150 Arrowhead Drive
Ste 2
Evanston, WY 82930
Phone
(307) 789-8881
Fax
(307) 789-6470
NPI assigned
Dec 4, 2006
Last updated
Jun 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6429A WY Primary

Addresses

Primary practice location

150 Arrowhead Drive
Ste 2
Evanston, WY 82930

Mailing address

150 Arrowhead Drive
Ste 2
Evanston, WY 82930
Phone (307) 789-8881

Other identifiers 1

IdentifierTypeStateIssuer
119741000MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001544 WY Practitioner - Obstetrics/Gynecology 2264420876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1005 College View Dr
Riverton, WY 82501-2289
Phone (307) 857-3486

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Clinic Corp Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Riverton Physician Practices, LLC Current Accepting new patients
Riverton Physician Practices LLC CurrentSince Apr 1, 2024 Accepting new patients
Riverton Physician Practices LLC CurrentSince Apr 1, 2024 Accepting new patients
Fort Payne RHC Corp Past Accepting new patients
Riverton Memorial Hospital LLC Past Accepting new patients

Locations

150 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 789-5080

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

545 E Main St
Lander, WY 82520

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

Interoperability endpoints

  • Direct secure messaging: echansen@yourcarecommunity.org
  • Direct secure messaging: eric.hansen.1@5036.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4622/brand/1/csg/21/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1366500449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ARROWHEAD DRIVE",
            "address_2": "STE 2",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "82930",
            "telephone_number": "307-789-8881",
            "fax_number": "307-789-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ARROWHEAD DRIVE",
            "address_2": "STE 2",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "82930",
            "telephone_number": "307-789-8881",
            "fax_number": "307-789-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ERIC",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "6429A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119741000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

Verify at the official NPI Registry.