Individual provider Active NPI

Nathan Hansen, DPM

  • Primary Podiatric Medicine Podiatrist
  • Mill Creek, WA
National Provider Identifier
1669872925
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO60714901 Issued in WA
Practice address
16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794
Phone
(425) 537-3777
Fax
(425) 407-5502
NPI assigned
Aug 23, 2014
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X PO60714901 WA
Primary Podiatric Medicine Podiatrist 213EP1101X PO60714901 WA Primary

Addresses

Primary practice location

16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794

Mailing address

16030 Bothell Everett Hwy Ste 160
Mill Creek, WA 98012-1794
Phone (425) 537-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907003558 WA Practitioner - Podiatry 3779856042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PNC Podiatry of Washington PLLCGroup PAC ID 3971950312, 13 clinicians

Practice addresses (Care Compare)

16030 Bothell Everett Hwy
Suite 160
Mill Creek, WA 98012-1794
Phone (425) 537-3777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue134
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO60714901WAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
PNC Podiatry of Washington PLLC Primary Podiatric Medicine CurrentSince Jun 1, 2025 Accepting new patients
Hansen Foot and Ankle LLC Primary Podiatric Medicine CurrentSince Jun 15, 2017 Accepting new patients
PNC Podiatry of Washington PLLC CurrentSince Jun 1, 2025 Accepting new patients
Mill Creek Foot & Ankle Clinic P.C. Primary Podiatric Medicine PastSince Sep 1, 2019 Accepting new patients

Locations

1823 37th St
Ste A
Everett, WA 98201
Phone (425) 339-8888

16030 Bothell Everett Hwy
Ste 160
Mill Creek, WA 98012
Phone (425) 537-3777

16708 Bothell Hwy
Ste 204
Mill Creek, WA 98012
Phone (425) 482-6663

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26643/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nathan.hansen.1@26643.direct.athenahealth.com
  • Direct secure messaging: nathan.hansen.1@28424.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1408752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1669872925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 160",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121794",
            "telephone_number": "425-537-3777",
            "fax_number": "425-407-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 160",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121794",
            "telephone_number": "425-537-3777",
            "fax_number": "425-407-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-23",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WA",
            "license": "PO60714901",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO60714901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.