Individual provider Active NPI

Brandy Lynn Hanson, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1467945840
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001316 Issued in IL
Practice address
7929 S Yates Blvd
Ste 201
Chicago, IL 60617-1102
Phone
(773) 868-6824
Fax
(773) 868-6828
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209017179 IL
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 277001316 IL Primary

Addresses

Primary practice location

7929 S Yates Blvd
Ste 201
Chicago, IL 60617-1102

Mailing address

7929 S Yates Blvd
Ste 201
Chicago, IL 60617-1102
Phone (773) 966-4569

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000076 IL Practitioner - Nurse Practitioner 2264864917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Family Health Center IncGroup PAC ID 6608765417, 27 clinicians

Practice addresses (Care Compare)

10536 S Ewing Ave
Chicago, IL 60617-6219
Phone (773) 768-5000

556 E 115TH St
Chicago, IL 60628-5740
Phone (773) 785-6800

570 E 115TH St
Chicago, IL 60628-5740
Phone (773) 768-5000

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277001316ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesaver Intervention Center Inc Multi-Specialty Current Accepting new patients
Chicago Family Health Center, Inc. CurrentSince Feb 3, 2026 Accepting new patients
Yusuf Salah LLC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Lifesaver Healthcare, LLC Multi-Specialty CurrentSince Mar 16, 2021 Accepting new patients
Chicago Family Health Center Inc CurrentSince Feb 3, 2026 Accepting new patients
Midwest Medicorp, SC Multi-Specialty Past Accepting new patients
Chicago Pain Medicine Center Multi-Specialty Past Accepting new patients

Locations

10536 S Ewing Ave
Chicago, IL 60617
Phone (773) 978-6392

9119 S Exchange Ave
Chicago, IL 60617

19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400

6321 Dempster St
Morton Grove, IL 60053

Interoperability endpoints

  • Direct secure messaging: brandy.hanson.1@18277.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1467945840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 S YATES BLVD",
            "address_2": "STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171102",
            "telephone_number": "773-966-4569",
            "fax_number": "773-868-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 S YATES BLVD",
            "address_2": "STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171102",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.