Individual provider Active NPI

Michael Keith Hanson Jr., RN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1457598229
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.409709 Issued in OH
Practice address
1325 E Kemper Rd Ste 200
Cincinnati, OH 45246-3946
Phone
(937) 217-9330
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN.409709 OH Primary

Addresses

Primary practice location

1325 E Kemper Rd Ste 200
Cincinnati, OH 45246-3946

Mailing address

1080 Arborwood CT
Batavia, OH 45103-2564
Phone (937) 217-9330

Other identifiers 1

IdentifierTypeStateIssuer
0012541MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230426002804 OH Practitioner - Nurse Practitioner 9234449620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 E Kemper Rd
Suite 200
Cincinnati, OH 45246-3946
Phone (937) 309-3017

Hospital & facility affiliations

  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.409709OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Access Primary Care Family Current Accepting new patients
Michael Hanson, LLC CurrentSince Mar 1, 2023 Accepting new patients
Hanson Home Care, LLC PastSince Oct 23, 2015 Accepting new patients

Locations

1325 E Kemper Rd
Ste 200
Cincinnati, OH 45246
Phone (937) 217-9330

Organizations & group practices 3

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1457598229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 ARBORWOOD CT",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032564",
            "telephone_number": "937-217-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E KEMPER RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463946",
            "telephone_number": "937-217-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.409709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.