Mark A. Hansen, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP1758 Issued in AZ

Practice address

605 N Gilbert Rd
Mesa, AZ 85203-6629

Phone

(480) 398-1220

Fax

(480) 398-1230

NPI assigned

Nov 7, 2005

Last updated

Sep 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2959/brand/1/csg/1/fhir/r4
• Direct secure messaging: mark.hansen.1@2959.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Four Peaks Neurology, P.C.

  • Neurology Physician
  • Scottsdale, AZ
  • NPI 1295869964
  Medicare reassignment NPD
• Biltmore Family Physicians, PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1811078843
  NPD (past)
• Gilbert PT, LLC

  dba Pain Associates of Gilbert

  • Adult Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1639472244
  NPD (past)
• Medwell LLC

  • Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1356756936
  NPD (past)
• Mydockj

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1407129646
  NPD (past)
• Team Physicians of Arizona PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1710915764

  Nurse Practitioner

  NPD (past)
• American Neuromonitoring Associates, PC

  • Neurology Physician
  • Columbia, MD
  • NPI 1740391283
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1528049731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD",
            "address_2": "STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245901",
            "telephone_number": "480-963-1853",
            "fax_number": "480-963-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852036629",
            "telephone_number": "480-398-1220",
            "fax_number": "480-398-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darby Hansen
• Devan Hansen, PHARMD
• Erica Hansen, SLP-CF
• Hayley Rose Hansen, MC, LPC
• Howard Goodfellow Hansen, D.D.S.
• Rachelle April Hansen
• Shauna Kay Hansen, RN
• Teresa Mary Hansen
• Whitney Hansen
• Paul Hanson-Jaravata, DNP, RN, CRNA

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.