Individual provider Active NPI

Brian Kent Hansen

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1689145427
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
124913 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone
(702) 877-8661
Fax
(702) 667-4689
NPI assigned
Dec 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN73141 NV
Critical Care Medicine Registered Nurse 163WC0200X R047140 SD
Certified Registered Nurse Anesthetist 367500000X 124913 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 242-7199

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brian.hansen@optum.com Health Information Exchange (HIE)
Other URL brian.hansen@optum.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430000541 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315289030 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Bell MD PCGroup PAC ID 9436633864, 26 clinicians

Practice addresses (Care Compare)

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN73141NVMDCritical Care Medicine Registered Nurse
R047140SDMDCritical Care Medicine Registered Nurse
124913NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Mar 27, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Mar 27, 2019 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 1, 2022 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Dec 23, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Dec 1, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Dec 1, 2019 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 1, 2022 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

304 S Jones Blvd
Las Vegas, NV 89107
Phone (626) 399-6834

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

Organizations & group practices 9

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1689145427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-242-7199",
            "fax_number": "702-667-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-877-8661",
            "fax_number": "702-667-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BRIAN",
        "middle_name": "KENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NV",
            "license": "RN73141",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "SD",
            "license": "R047140",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "124913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.hansen@optum.com",
            "affiliation": "N",
            "endpointDescription": "Business address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "2450 W Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891022179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brian.hansen@optum.com",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "2450 W Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891022179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.