Matthew Hansen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1327 W Superior St Ste 101
Sandpoint, ID 83864-2742

Phone

(503) 371-4044

NPI assigned

Aug 24, 2018

Last updated

Oct 27, 2022By 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 ID, WA2 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

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Idaho Pain Clinic PLLCGroup PAC ID 3274712609, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
• Newport Community Hospital Hospital, Newport, WA, CCN 501310
• Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301

Merit-based Incentive Payment System (MIPS)

Final score

77.58 of 100Reported as group

Quality

54.82

Improvement activities

40

Cost

73.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Idaho Pain Clinic PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Sandpoint, ID
  • NPI 1417267329

  WA

  Medicare reassignment Care Compare group
• Brian Mather, PC

  dba Spokane Chiropractic & Sports Injury Clinic

  • Sports Physician Chiropractor
  • Spokane, WA
  • NPI 1205018397
  NPD (past)

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

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Boundary Community Hospital

  • Critical Access Hospital
  • Bonners Ferry, ID
  • NPI 1801896683
  Care Compare affiliation
• Pend Oreille County Public Hospital District No 1

  dba Newport Community Hospital

  • Critical Access Hospital
  • Newport, WA
  • NPI 1780778423
  Care Compare affiliation

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1649751934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 W SUPERIOR ST STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642742",
            "telephone_number": "503-814-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 W SUPERIOR ST STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642742",
            "telephone_number": "503-371-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halsa, LLC
• Zachary Paul Halversen, M.D.
• Constance Hammond, LMT
• Hand Crafted Therapy, PLLC
• Jarrod Hansen
• Lisa Darlene Harcourt, LMT
• Lyle D Harder, P.T.
• Michaela Hunter Harrell, DPT
• Nathaneal D Harrell, O.D.
• Robert H Harrison, DDS

• Physician Assistant in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.