Katelyn Lane Hansen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3615 Issued in MN

Practice address

600 Market St Ste 190
Chanhassen, MN 55317-4572

Phone

(952) 937-9465

NPI assigned

Jun 6, 2019

Sex

Female

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 MN

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Roman Gerber LLCGroup PAC ID 2860720893, 3 clinicians

Sarah K Ebeling OD PLLCGroup PAC ID 5092037200, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Roman Gerber LLC

  • Optometrist
  • St Louis Park, MN
  • NPI 1306365846
  Medicare reassignment Care Compare group NPD
• Sarah K. Ebeling, OD, PLLC

  • Optometrist
  • Chanhassen, MN
  • NPI 1336541408
  Medicare reassignment Care Compare group NPD
• Cornea and Contact Lens Institute of Minnesota

  • Optometrist
  • Edina, MN
  • NPI 1265733471
  Medicare reassignment NPD

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1689233447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 OAK DR",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553868230",
            "telephone_number": "605-695-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARKET ST STE 190",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174572",
            "telephone_number": "952-937-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATELYN",
        "middle_name": "LANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Guzman, MD
• Rachel M Hakanson, DPT
• Joseph Curtis Halama, D.C.
• Noah Halloran
• Haizal Zabrina Hamza, MD
• Rachael M Harter, DO
• Deborah Hartman, PHARMD
• Karen Kay Hasse, PH.D., L.P.
• Eryn Hauch
• Haven Mental Wellness

• Optometrist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.