Pamela Ann Hansen, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
NPI 1649360249 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1649360249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 5287654-1205 (UT)
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2267
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- Northwestern University Feinberg Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Specialty Services
Practice addresses (Care Compare)
50 N Medical Dr
University of Utah Hospital Pmandr
Salt Lake City, UT 84132-0100
Phone (801) 587-6336
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 93.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 45.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040119000291 | UT | Practitioner - Sports Medicine |
5698676088 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Navajo Health System, Incorporated | Current |
Accepting new patients | |
| Utah Navajo Health System, Incorporated | Current |
Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients | |
| University of Utah Specialty Services | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| University of Utah Specialty Services | Current |
Accepting new patients | |
| University of Utah Specialty Services | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Pediatric PM and R | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Orthopaedic Spine Surgeons | Past | Accepting new patients | |
| University of Utah Orthopedic Consultants | Past | Accepting new patients | |
| University Neurosurgery Associates | Past | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5287654-1205 | UT | Yes |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 413032
Salt Lake City, UT 84141-3032
Phone (801) 213-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00066065 | Other | UT | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | phansen3306@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Other providers in Salt Lake City, UT
- Michelle Hansen
- Mitchell Hansen
- Natasha A Hansen
- Natessa Hansen
- Nicolette Carly Hansen
- Peter Douglas Hansen
- Phillip V Hansen
- Preston Hansen
- Robert P Hansen Jr.
- Samantha Ann Hansen
All providers in Salt Lake City, UT · Physical Medicine & Rehabilitation Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.