Active NPI
Peggy Ann Hansen, MN, ARNP
- General Practice Registered Nurse
- Mukilteo, WA
National Provider Identifier
1801909031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN00076386
- Practice address
- 8490 Mukilteo Speedway
Mukilteo, WA 98275-3206 - Phone
- (425) 356-6516
- Fax
- (425) 356-6515
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN00076386 | WA | Primary |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | AP30001528 | WA |
Addresses
Primary practice location
8490 Mukilteo Speedway
Mukilteo, WA 98275-3206
Mailing address
8490 Mukilteo Speedway
Mukilteo, WA 98275-3206
Phone (425) 356-6516
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R51948 | Other | WA | PIN REGENCE BLUE SHIELD |
| 106998100000 | Other | WA | PIN PREMERA BLUE CROSS |
| 1168333 | Other | WA | VENDOR # CIGNA |
| 169453 | Other | WA | PROVID VALUE OPTIONS |
| 3715-01 | Other | WA | PROVIDER ID PROVIDENCE HP |
| A399010 | Other | WA | VENDER # V.O. BOEING |
| 0863362 | Other | WA | PROVID AETNA HM INTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00076386 | WA | MD | General Practice Registered Nurse |
| AP30001528 | WA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1801909031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8490 MUKILTEO SPEEDWAY",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982753206",
"telephone_number": "425-356-6516",
"fax_number": "425-356-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8490 MUKILTEO SPEEDWAY",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982753206",
"telephone_number": "425-356-6516",
"fax_number": "425-356-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "PEGGY",
"middle_name": "ANN",
"credential": "MN, ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "RN00076386",
"primary": true
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "WA",
"license": "AP30001528",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN REGENCE BLUE SHIELD",
"identifier": "R51948",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN PREMERA BLUE CROSS",
"identifier": "106998100000",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VENDOR # CIGNA",
"identifier": "1168333",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVID VALUE OPTIONS",
"identifier": "169453",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID PROVIDENCE HP",
"identifier": "3715-01",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VENDER # V.O. BOEING",
"identifier": "A399010",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVID AETNA HM INTX",
"identifier": "0863362",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.