Active NPI
Thomas Garet Hanselman, PA-C
- Physician Assistant
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13184
- Practice address
- 500 W 4TH St
Odessa, TX 79761 - Phone
- (432) 640-3462
- Fax
- (432) 640-2897
- NPI assigned
- Nov 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13184 | TX | Primary |
Addresses
Primary practice location
500 W 4TH St
Odessa, TX 79761
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-3462
Other practice location 1
5055 W Old Highway Rd
Morgan, UT 84050-9752
Phone (801) 866-7732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000
260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.55 of 100
- Quality
- 70.56
- Improvement activities
- 40
- Cost
- 72.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Seton Williamson
- General Acute Care Hospital
- Round Rock, TX
- NPI 1578780870
-
dba Ascension Seton Cedar Park
- General Acute Care Hospital
- Cedar Park, TX
- NPI 1376662296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1699242156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2129",
"city": "ODESSA",
"state": "TX",
"postal_code": "797602129",
"telephone_number": "432-640-3462",
"fax_number": "432-640-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 4TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-640-3462",
"fax_number": "432-640-2897"
}
],
"practiceLocations": [
{
"address_1": "5055 W Old Highway Rd",
"address_purpose": "LOCATION",
"city": "Morgan",
"state": "UT",
"postal_code": "840509752",
"country_code": "US",
"telephone_number": "801-866-7732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSELMAN",
"first_name": "THOMAS",
"middle_name": "GARET",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-01",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA13184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.