Individual provider Active NPI

Anne Hansen

  • Pediatric Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1578934014
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NUR-APRN-LIC-125098 Issued in MT
Practice address
937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916
Phone
(406) 414-4900
NPI assigned
Oct 9, 2015
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95003025 CA
Pediatric Nurse Practitioner 363LP0200X NUR-APRN-LIC-125098 MT Primary

Addresses

Primary practice location

937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other practice location 1

45 Neilson St
Watsonville, CA 95076-2468
Phone (831) 728-8259

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahansen17214953@direct.sanfordhealth.org Direct Bozeman Health Deaconess Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180131002909 CA Practitioner - Nurse Practitioner 5799073953 Reassigns benefits to 2 organizations
I20210108002526 MT Practitioner - Nurse Practitioner 5799073953 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003025CAMDPediatric Nurse Practitioner
NUR-APRN-LIC-125098MTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Mar 1, 2021 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jan 23, 2018 Accepting new patients
Stanford Health Care CurrentSince Jan 23, 2018 Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Mar 1, 2021 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Jul 18, 2024 Accepting new patients
Stanford Health Care CurrentSince Jan 23, 2018 Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

875 S Cottonwood Rd
Ste 300
Bozeman, MT 59718
Phone (406) 414-4100

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

937 Highland Blvd
Ste 5320
Bozeman, MT 59715
Phone (406) 414-4570

Interoperability endpoints

  • Direct secure messaging: ahansen17214953@direct.sanfordhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1578934014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HIGHLAND BLVD STE 5320",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156916",
            "telephone_number": "406-414-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Neilson St",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762468",
            "country_code": "US",
            "telephone_number": "831-728-8259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95003025",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MT",
            "license": "NUR-APRN-LIC-125098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahansen17214953@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Deaconess Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 S Cottonwood Rd Ste 300",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597184208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.