Individual provider Active NPI

Katlyn Sue Hansen, NP

  • Family Nurse Practitioner
  • Menasha, WI
National Provider Identifier
1649693326
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5658 - 33 Issued in WI
Practice address
1550 Midway PL
Menasha, WI 54952-1165
Phone
(920) 727-8000
NPI assigned
Jan 30, 2014
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5658 - 33 WI Primary

Addresses

Primary practice location

1550 Midway PL
Menasha, WI 54952-1165

Mailing address

1550 Midway PL
Menasha, WI 54952-1165
Phone (920) 727-8000

Other identifiers 1

IdentifierTypeStateIssuer
100036689MedicaidWI

Other names 1

  • Katlyn Sue Vande Slunt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20140506000133 WI Practitioner - Nurse Practitioner 7315170958 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Main St
Neenah, WI 54956-2570
Phone (920) 727-4200

1160 Service Rd
Kiel, WI 53042-1281
Phone (920) 894-3322

1420 Algoma St
New London, WI 54961-2104
Phone (920) 982-8300

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1855 S Koeller St
Oshkosh, WI 54902-6186
Phone (920) 223-7000

200 Patriot Dr
Little Chute, WI 54140-1184
Phone (920) 687-2800

2601 Fieldcrest Dr
Kaukauna, WI 54130-4523
Phone (920) 462-6100

2700 W 9TH Ave
Oshkosh, WI 54904-7247

3329 N Richard St
Appleton, WI 54911-1063
Phone (920) 380-2715

W6981 Parkview Dr
Greenville, WI 54942-8034
Phone (920) 882-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5658 - 33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Neenah, S.C. CurrentSince Nov 26, 2019 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 1, 2015 Accepting new patients
Ascension Calumet Hospital, Inc CurrentSince Feb 8, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 10, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 1, 2015 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 10, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc Current Accepting new patients

Locations

820 E Grant St
Ste 230
Appleton, WI 54911
Phone (920) 725-4527

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

100 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 722-7747

100 Theda Clark Medical Plz
Ste 400
Neenah, WI 54956
Phone (414) 725-4527

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

1712 Monroe St
New Holstein, WI 53061
Phone (920) 882-4000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Organizations & group practices 7

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1649693326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MIDWAY PL",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521165",
            "telephone_number": "920-727-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MIDWAY PL",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521165",
            "telephone_number": "920-727-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATLYN",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5658 - 33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100036689",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "VANDE SLUNT",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Menasha, WI

Sources for this page

Verify at the official NPI Registry.