Anna M Hansen, PA-C
Individual provider Active NPI Physician Assistant · Durant, IA
NPI 1689670747 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1689670747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001239 (IA)
- Practice address
- 619 5TH Street
Durant, IA 52747 - Phone
- (563) 785-4487
- Fax
- (563) 785-6681
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061130000416 | IA | Practitioner - Physician Assistant | 6800894718 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001239 | IA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current |
Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients | |
| Genesis Health System | Past | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients | |
| Genesis Medical Education Foundation Inc | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722
Phone (563) 355-9191
1345 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-4400
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
1008 11th St
De Witt, IA 52742
Phone (563) 659-9137
619 5th St
Durant, IA 52747
Phone (563) 785-4487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001239 | IA | Yes |
Addresses
Primary practice location
619 5TH Street
Durant, IA 52747
Mailing address
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722-4159
Phone (563) 355-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4796890001 | Other | DMERC | |
| 150016 | Other | IOWA HEALTH SOLUTIONS | |
| IA0173 | Other | JOHN DEERE HEALTH PLAN | |
| 077614 | Other | HEALTH ALLIANCE |
Other names
- Anna M Anderson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anna.hansen@direct.genesishealth.com | Direct |
Other providers in Durant, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.