Individual provider Active NPI

Daniel R Hansen, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1508331992
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060253 Issued in PA
Practice address
5609 5TH Ave
Pittsburgh, PA 15232-2601
Phone
(412) 362-3500
Fax
(412) 362-9063
NPI assigned
Oct 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060253 PA Primary

Addresses

Primary practice location

5609 5TH Ave
Pittsburgh, PA 15232-2601

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (215) 402-8002

Other identifiers 1

IdentifierTypeStateIssuer
103599230-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190204000365 PA Practitioner - Physician Assistant 8820335565 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geps Physician Group of Pennsylvania, PC CurrentSince Aug 23, 2024 Accepting new patients

Locations

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

5609 5th Ave
Shadyside, PA 15232
Phone (412) 323-0420

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

Organizations & group practices 4

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1508331992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "215-402-8002",
            "fax_number": "412-362-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322601",
            "telephone_number": "412-362-3500",
            "fax_number": "412-362-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103599230-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.