Active NPI
Christopher James Hanson, M.D., M.B.A
- Family Medicine Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036136586
- Practice address
- 2250 Reed Station Pkwy Ste 305
Carbondale, IL 62901-8104 - Phone
- (618) 457-4999
- Fax
- (618) 457-5099
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036136586 | IL | |
| Family Medicine Physician | 207Q00000X | 036136586 | IL | Primary |
Addresses
Primary practice location
2250 Reed Station Pkwy Ste 305
Carbondale, IL 62901-8104
Mailing address
PO Box 9727
Peoria, IL 61612-9727
Phone (309) 886-9172
Other practice location 1
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 55321
Other practice location 2
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721 ext. 65126
Other practice location 3
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 35760
Other practice location 4
207 W Jackson St Ste 202
Carbondale, IL 62901-1408
Phone (618) 351-1033
Other practice location 5
2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
Phone (618) 932-3937
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chanson13991@sih.direct-ci.com | ||
| Direct Messaging Address | chanson13991@sih.direct-ci.com | ||
| Direct Messaging Address | chanson13991@sih.direct-ci.com | ||
| Direct Messaging Address | chanson13991@sih.direct-ci.com | ||
| Direct Messaging Address | chanson13991@sih.direct-ci.com | ||
| Direct Messaging Address | christopher.hanson@shcci.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20150327002475 | IL | Practitioner - Family Practice | 3072751734 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
2250 Reed Station Pkwy
Carbondale, IL 62901-8101
Phone (618) 457-4999
2250 Reed Station Pkwy
Suite 305
Carbondale, IL 62901-8104
Phone (618) 457-4999
Hospital & facility affiliations
- Residential Home Health of Southern Illinois, LLC
- LHC-Illinois Home Health Care
- Hospice of Southern Illinois, Inc
- Memorial Hospital of Carbondale
- Herrin Hospital
- Deaconess Illinois Union County
- St Joseph Memorial Hospital
- Heartland Regional Medical Center
- Integrity HC of Marion
- Integrity HC of Cobden
- Integrity HC of Anna
- Integrity HC of Herrin
- Manor Court of Carbondale
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036136586 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Rubicon Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Southern Illinois Hospital Services | Current | Accepting new patients | |
| Southern Illinois Hospital Services | Current | Accepting new patients | |
| Elbert a Fasnacht II MD LTD | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Family Medicine | Current | Accepting new patients |
| Hanson Medical Services PLLC | Family Medicine | Current | Accepting new patients |
| Solvera Healthcare Center Inc | Family Medicine | Current | Accepting new patients |
| Board of Trustees of Southern Illinois University | Family Medicine | Current | Accepting new patients |
| Solvera Healthcare Center Inc | Family Medicine | Current | Accepting new patients |
| Carbondale Rehabilitation and Nursing Center, LLC | Past | Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
207 W Jackson St
Ste 102
Carbondale, IL 62901
Phone (618) 457-0456
207 W Jackson St
Ste 202
Carbondale, IL 62901
Phone (618) 351-1033
2250 Reed Station Pkwy
Ste 305
Carbondale, IL 62901
Phone (618) 457-4999
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
2250 Reed Station Pkwy
Carbondale, IL 62901
Phone (618) 457-4999
120 N Tower Rd
Carbondale, IL 62901
Phone (618) 546-3355
721 S Lewis Ln
Carbondale, IL 62901
Phone (618) 457-4999
256 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 233-2836
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
3525 N University St
Peoria, IL 61604
Phone (309) 886-9172
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
2553 Ken Gray Blvd
West Frankfort, IL 62896
Phone (618) 932-2155
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Anna Rehabilitation and Nursing Center, LLC | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Jul 1, 2024 |
| Carbondale Rehabilitation and Nursing Center LLC | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Jul 1, 2024 |
| Cobden Nursing and Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Jul 1, 2024 |
| Herrin Rehabilitation and Nursing Center, LLC | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Jul 1, 2024 |
| Marion Rehabilitation and Nursing Center,LLC | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Jul 1, 2024 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Anna, IL
- NPI 1518062165
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Carbondale, IL
- NPI 1063518850
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Cobden, IL
- NPI 1861597700
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Herrin, IL
- NPI 1932205713
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Marion, IL
- NPI 1922103589
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 16
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.
-
- Family Medicine Physician
- Carbondale, IL
- NPI 1528862935
Family Medicine, IL
-
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
Family Medicine, IL
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Family Medicine, IL
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
IL
-
- Federally Qualified Health Center (FQHC)
- Springfield, IL
- NPI 1558848473
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1962582700
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Anna, IL
- NPI 1518062165
Nursing home
-
- Skilled Nursing Facility
- Cobden, IL
- NPI 1861597700
Nursing home
-
- Critical Access Hospital
- Anna, IL
- NPI 1710604483
Hospital
-
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
Hospital
-
- Skilled Nursing Facility
- Herrin, IL
- NPI 1932205713
Nursing home
-
- Community Based Hospice Care Agency
- Belleville, IL
- NPI 1720081805
Hospice
-
- Home Health Agency
- Marion, IL
- NPI 1740527407
-
- Skilled Nursing Facility
- Marion, IL
- NPI 1922103589
Nursing home
-
- Home Health Agency
- Marion, IL
- NPI 1235556838
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
Hospital
-
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1447514971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9727",
"city": "PEORIA",
"state": "IL",
"postal_code": "616129727",
"telephone_number": "309-886-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 REED STATION PKWY STE 305",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629018104",
"telephone_number": "618-457-4999",
"fax_number": "618-457-5099"
}
],
"practiceLocations": [
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156 x55321",
"fax_number": "618-684-1040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011462",
"country_code": "US",
"telephone_number": "618-549-0721 x65126",
"fax_number": "618-529-0479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171 x35760",
"fax_number": "618-988-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 W Jackson St Ste 202",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011408",
"country_code": "US",
"telephone_number": "618-351-1033",
"fax_number": "618-351-1055",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2553 Ken Gray Blvd",
"address_purpose": "LOCATION",
"city": "West Frankfort",
"state": "IL",
"postal_code": "628964174",
"country_code": "US",
"telephone_number": "618-932-3937",
"fax_number": "618-932-2734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D., M.B.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036136586",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036136586",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chanson13991@sih.direct-ci.com",
"affiliation": "N",
"address_1": "207 W Jackson St Ste 202",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011408",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chanson13991@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2553 Ken Gray Blvd",
"city": "West Frankfort",
"state": "IL",
"country_code": "US",
"postal_code": "628964174",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chanson13991@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2 S Hospital Dr",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629663333",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chanson13991@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011462",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chanson13991@sih.direct-ci.com",
"affiliation": "N",
"address_1": "201 S 14th St",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483631",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christopher.hanson@shcci.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Solvera Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "721 S Lewis Ln",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629013344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.