Individual provider Active NPI

Brian J. Hansen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1659156032
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190492 Issued in VA
Practice address
6010 W Broad St Ste 103
Richmond, VA 23230-2215
Phone
(262) 282-1863
NPI assigned
Aug 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190492 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14281-33 WI

Addresses

Primary practice location

6010 W Broad St Ste 103
Richmond, VA 23230-2215

Mailing address

6010 W Broad St Ste 103
Richmond, VA 23230-2215
Phone (804) 282-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, VA2 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
I20240430002337 WI Practitioner - Nurse Practitioner 2567802176 Reassigns benefits to 1 organization
I20240912000821 VA Practitioner - Nurse Practitioner 2567802176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
We Help Our AdolescentsGroup PAC ID 1850790957, 20 clinicians

Practice addresses (Care Compare)

6010 W Broad St
Suite 103
Richmond, VA 23230-2215
Phone (804) 306-3219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024190492VAMDPsychiatric/Mental Health Nurse Practitioner
14281-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
We Help Our Adolescents CurrentSince Sep 16, 2024 Accepting new patients
Ganesha Institute of Neurology and Psychiatry SC Psychiatric/Mental Health CurrentSince Feb 28, 2024 Accepting new patients
Ganesha Institute of Neurology and Psychiatry SC Psychiatric/Mental Health CurrentSince Feb 28, 2024 Accepting new patients

Locations

6010 W Broad St
Ste 103
Richmond, VA 23230
Phone (804) 282-1863

4600 Green Bay Rd
Kenosha, WI 53144
Phone (847) 816-6335

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1659156032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 W BROAD ST STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302215",
            "telephone_number": "804-282-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W BROAD ST STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302215",
            "telephone_number": "262-282-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BRIAN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190492",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14281-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.