NPIMap

Individual provider Active NPI

Danielle M Hansen, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Erie, PA
National Provider Identifier
1548436389
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
OS014134 Issued in PA
Practice address
5535 Peach St FL 1
Erie, PA 16509-2603
Phone
(814) 868-3488
Fax
(814) 868-3499
NPI assigned
May 1, 2008
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS014134 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OS014134 PA Primary

Addresses

Primary practice location

5535 Peach St FL 1
Erie, PA 16509-2603

Mailing address

1 Lecom PL
Erie, PA 16505-2571

Other identifiers 1

IdentifierTypeStateIssuer
1021271280015MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000166 PA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5193895282 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of ErieGroup PAC ID 2769402783, 25 clinicians
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

3910 Schaper Ave
Erie, PA 16508-3346
Phone (814) 790-5607

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Feb 9, 2009 Accepting new patients
Medical Associates of Erie CurrentSince Feb 9, 2009 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Corry Memorial Hospital Association CurrentSince Apr 1, 2024 Accepting new patients
Millcreek Community Hospital CurrentSince Jun 15, 2020 Accepting new patients
Millcreek Community Hospital CurrentSince Nov 13, 2023 Accepting new patients
Medical Associates of Erie Internal Medicine Current Accepting new patients
Millcreek Community Hospital Geriatric Medicine CurrentSince Jun 15, 2020 Accepting new patients
Lecom at Village Square, LLC Past Accepting new patients

Locations

300 York St
Corry, PA 16407
Phone (814) 664-3979

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

1 Lecom Pl
Erie, PA 16505

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

3910 Schaper Ave
Erie, PA 16508
Phone (814) 453-5072

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

5535 Peach St
Fl 1
Erie, PA 16509
Phone (814) 868-3488

Interoperability endpoints

  • Direct secure messaging: dhansen@lisl.medentdirect.com
  • Direct secure messaging: dhansen@maoeim-pa.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Millcreek Community HospitalErie, PA, CCN 390198 Hospital Corporate Director Jan 1, 2021
Millcreek Community HospitalErie, PA, CCN 39S198 Hospital Other Jul 1, 2022
Millcreek Community HospitalErie, PA, CCN 39T198 Hospital Corporate Officer Jan 1, 2023
Lecom Nursing and RehabilitationErie, PA, CCN 395404 Skilled nursing facility Corporate Director
Trustee of the SNF		 Jan 1, 2023
Jan 1, 2023

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1548436389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PEACH ST FL 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-868-3488",
            "fax_number": "814-868-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS014134",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS014134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021271280015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.