Chris Hansen, PA-C
Individual provider Active NPI Physician Assistant · Hoxie, KS
NPI 1760455331 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1760455331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 639 (AK)
- Practice address
- 826 18TH St
Hoxie, KS 67740-4371 - Phone
- (785) 675-3281
- Fax
- (785) 675-3840
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Canyonlands Community Health Care
Practice addresses (Care Compare)
1615 S 1St Ave
Safford, AZ 85546-2103
Phone (928) 348-1701
440 N Navajo Dr
Page, AZ 86040-1625
Phone (928) 645-1700
467 Vista Ave
Page, AZ 86040-1478
Phone (928) 645-8123
E Hwy 160 to Rte 59
Chilchinbito, AZ 86033-1496
Phone (928) 697-8154
PO Box
Page, AZ 86040-1625
Hospital & facility affiliations
- Page Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20220923002537 | AZ | Practitioner - Physician Assistant | 9638183783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyonlands Community Health Care | Current |
Accepting new patients | |
| Canyonlands Community Health Care | Current |
Accepting new patients | |
| Canyonlands Community Health Care | Past | Accepting new patients | |
| Greeley County Health Services, Inc | Past | Accepting new patients | |
| Canyonlands Community Health Care | Past | Accepting new patients | |
| Greeley County Health Services Inc | Past | Accepting new patients |
Locations
10A Ward Canyon Rd
Clifton, AZ 85533
Phone (928) 865-2500
5860 S Hospital Dr
Ste 102
Globe, AZ 85501
Phone (928) 402-0491
2016 W 16th St
Safford, AZ 85546
Phone (520) 428-1377
1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/greelco-fe371fba
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- chris.hansen.p1@direct.canyonlands.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 639 | AK | Yes |
Addresses
Primary practice location
826 18TH St
Hoxie, KS 67740-4371
Mailing address
PO Box 167
Hoxie, KS 67740-0167
Phone (856) 775-3281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDA0280 | Medicaid | AK |
Other providers in Hoxie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.