Individual provider Active NPI

Susan Ann Hanson, NP

  • Family Nurse Practitioner
  • Milford, IL
National Provider Identifier
1790190445
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011596 Issued in IL
Practice address
34 E Jones St
Milford, IL 60953-1046
Phone
(815) 889-4241
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011596 IL Primary

Addresses

Primary practice location

34 E Jones St
Milford, IL 60953-1046

Mailing address

611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792

Other practice location 1

720 S Crescent St Ste B
Gilman, IL 60938-1518
Phone (815) 265-8889

Other practice location 2

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5411

Other practice location 3

303 N 7th St
Kentland, IN 47951-1379
Phone (219) 474-5464

Other practice location 4

135 W Station St
Saint Anne, IL 60964-7251
Phone (815) 427-1324

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address susan.hanson.1@15486.direct.athenahealth.com Direct
Direct Messaging Address susan.hanson.1@15486.direct.athenahealth.com Direct
Direct Messaging Address susan.hanson.1@15486.direct.athenahealth.com Direct
Direct Messaging Address susan.hanson.1@15486.direct.athenahealth.com Direct
Direct Messaging Address susan.hanson.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807001825 IL Practitioner - Nurse Practitioner 6507083979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209011596ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iroquois Memorial Hospital and Resident Home CurrentSince May 11, 2021 Accepting new patients
Iroquois Memorial Hospital and Resident Home Past Accepting new patients

Locations

720 S Crescent St
Ste B
Gilman, IL 60938
Phone (815) 265-8889

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

34 E Jones St
Milford, IL 60953
Phone (815) 889-4241

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

303 N 7th St
Kentland, IN 47951
Phone (219) 474-5464

Interoperability endpoints

  • Direct secure messaging: susan.hanson.1@15486.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1790190445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E JONES ST",
            "city": "MILFORD",
            "state": "IL",
            "postal_code": "609531046",
            "telephone_number": "815-889-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 S Crescent St Ste B",
            "address_purpose": "LOCATION",
            "city": "Gilman",
            "state": "IL",
            "postal_code": "609381518",
            "country_code": "US",
            "telephone_number": "815-265-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Kentland",
            "state": "IN",
            "postal_code": "479511379",
            "country_code": "US",
            "telephone_number": "219-474-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 W Station St",
            "address_purpose": "LOCATION",
            "city": "Saint Anne",
            "state": "IL",
            "postal_code": "609647251",
            "country_code": "US",
            "telephone_number": "815-427-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.hanson.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S Crescent St Ste B",
            "city": "Gilman",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609381518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.hanson.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 N 7th St",
            "city": "Kentland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479511379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.hanson.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.hanson.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34 E Jones St",
            "city": "Milford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609531046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.hanson.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "135 W Station St",
            "city": "Saint Anne",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609647251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, IL

Sources for this page

Verify at the official NPI Registry.