Individual provider Active NPI

Alyssa Hansen, FNP-C

  • Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1386297463
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28205957A Issued in IN
Practice address
1345 Unity PL Ste 355
Lafayette, IN 47905-5761
Phone
(765) 807-7988
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28205957A IN Primary

Addresses

Primary practice location

1345 Unity PL Ste 355
Lafayette, IN 47905-5761

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 446-5417

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alyssahansen@idx.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20191019000102 IN Practitioner - Nurse Practitioner 6103157367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

1345 Unity PL
Suite 355
Lafayette, IN 47905-5761
Phone (765) 807-7988

3570 N Briarwood LN
Muncie, IN 47304-5211
Phone (765) 213-6373

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28205957AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC CurrentSince Jan 1, 2022 Accepting new patients
Unity Healthcare, LLC Nurse Practitioner Current Accepting new patients
Comprehensive Pain and Spine Specialists LLC Pain Medicine CurrentSince Dec 20, 2021 Accepting new patients
Unity Healthcare LLC CurrentSince Sep 16, 2019 Accepting new patients
Unity Healthcare, LLC CurrentSince Sep 16, 2019 Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

1721 Magnavox Way
#A
Fort Wayne, IN 46804
Phone (260) 250-0001

4725 Statesmen Dr
Ste A
Indianapolis, IN 46250
Phone (317) 713-1111

1411 S Creasy Ln
Ste 200
Lafayette, IN 47905
Phone (765) 446-5000

1345 Unity Pl
Ste 355
Lafayette, IN 47905
Phone (765) 807-7988

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

3570 N Briarwood Ln
Muncie, IN 47304
Phone (765) 213-6373

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

Interoperability endpoints

  • Direct secure messaging: alyssahansen@idx.allscriptsdirect.net

Organizations & group practices 6

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.

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1386297463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-446-5417",
            "fax_number": "765-446-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL STE 355",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055761",
            "telephone_number": "765-807-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ALYSSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28205957A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyssahansen@idx.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1345 Unity Pl Ste 355",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479055761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.