Active NPI
Heidi-Anne M Hanson, MD
- Internal Medicine Physician
- Laconia, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18617
- Practice address
- LRGH Hospitalist Program
Laconia, NH 03246-3235 - Phone
- (603) 934-2060
- Fax
- (603) 737-6713
- NPI assigned
- Aug 5, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 18617 | NH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 18617 | NH | Primary |
Addresses
Primary practice location
LRGH Hospitalist Program
Laconia, NH 03246-3235
Mailing address
PO Box 1327
Laconia, NH 03247-1327
Phone (603) 934-2060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221109001967 | TX | Practitioner - Internal Medicine | 2264788892 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Internists Associates, PLLC
Practice addresses (Care Compare)
331 Melrose Dr
Suite 220
Richardson, TX 75080-4773
Phone (469) 828-1903
Hospital & facility affiliations
- Baylor Scott & White the Heart Hospital Plano
- Baylor Scott & White Medical Center Plano
- Paris Regional Medical Center
- Baylor Scott and White Medical Center Lake Pointe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18617 | NH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Internists Associates, PLLC | Internal Medicine | Current | Accepting new patients |
| Texas Heart Hospital of the Southwest, LLC | Past | Accepting new patients |
Locations
331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903
275 W Campbell Rd
Ste 260
Richardson, TX 75080
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1154378560
Internal Medicine, TX
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
Hospital
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1407232168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1327",
"city": "LACONIA",
"state": "NH",
"postal_code": "032471327",
"telephone_number": "603-934-2060",
"fax_number": "603-527-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LRGH HOSPITALIST PROGRAM",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235",
"telephone_number": "603-934-2060",
"fax_number": "603-737-6713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "HEIDI-ANNE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NH",
"license": "18617",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "18617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.