Individual provider Active NPI

Tenny Hanson, FNP

  • Family Nurse Practitioner
  • Rock Springs, WY
National Provider Identifier
1790278141
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28504.1837 Issued in WY
Practice address
3000 College Dr
Rock Springs, WY 82901-4202
Phone
(307) 212-7708
Fax
(307) 352-8148
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28504 WY
Family Nurse Practitioner 363LF0000X 28504.1837 WY Primary

Addresses

Primary practice location

3000 College Dr
Rock Springs, WY 82901-4202

Mailing address

PO Box 1359
Rock Springs, WY 82902-1359
Phone (307) 212-7708

Other names 1

  • Tenny Davis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20190411002650 WY Practitioner - Nurse Practitioner 3577804954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Sweetwater CountyGroup PAC ID 0244124550, 70 clinicians

Practice addresses (Care Compare)

3000 College Dr
Rock Springs, WY 82901-4202
Phone (307) 352-8125

Hospital & facility affiliations

  • Rocky Mountain Home Care-Green River Home health agency, Green River, WY, CCN 537302
  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
72.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28504WYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sweetwater County CurrentSince Jan 21, 2019 Accepting new patients
Davis Outpatient Therapy LLC Family CurrentSince May 21, 2022 Accepting new patients
Power Basin Therapy LLC Past Accepting new patients
Memorial Hospital of Sweetwater County Past Accepting new patients
Davis Home Health LLC PastSince Mar 27, 2022 Accepting new patients

Locations

902 E 3rd St
Gillette, WY 82716
Phone (307) 756-9200

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

3000 College Dr
Rock Springs, WY 82901
Phone (307) 212-7708

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1790278141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829021359",
            "telephone_number": "307-212-7708",
            "fax_number": "307-352-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014202",
            "telephone_number": "307-212-7708",
            "fax_number": "307-352-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "TENNY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "28504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "28504.1837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENNY",
            "last_name": "DAVIS",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.