Richard Hansen, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD22235 Issued in OR

Practice address

300 N Mill St Ste a
Creswell, OR 97426-9848

Phone

(541) 895-5300

NPI assigned

Oct 4, 2006

Last updated

May 2, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 3, 2025 through Jan 3, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Emerald Wellness, P.C.

  dba Emerald Valley Wellness Clinic

  • General Practice Physician
  • Creswell, OR
  • NPI 1184833139
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1730275488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1057",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974261057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MILL ST STE A",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269848",
            "telephone_number": "541-895-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OR",
            "license": "MD22235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Gifford, MSW, LCSW
• Jessica Renee Greene, RN
• Joseph R Greenwood, DMD
• Sophie Gruszka, LMT
• Scott Andrew Hamilton
• Jayme Harrold, ATC
• Ted Hoggard, RPH
• Andrea Marie Jackson, PHD
• Nicholas Jorgensen, PHARMD
• Joseph R. Greenwood, DMD, PC (Creswell Family Dental Clinic)

• Adult Medicine Physician in Creswell, OR
• Providers in Creswell, OR by specialty
• Adult Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.