Andrew Hansen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13933798-1206 Issued in UT

Practice address

3448 S 3200 W
West Valley City, UT 84119-2628

Phone

(801) 359-2256

Fax

(801) 364-4392

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Confederated Tribes of the Goshute ReservationGroup PAC ID 0042451650, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Confederated Tribes of the Goshute Reservation

  • General Practice Physician
  • Ibapah, UT
  • NPI 1750510277

  TX

  Medicare reassignment Care Compare group
• Shasta Community Health Center

  dba Shasta Community Telemedicine and Training Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1114533171
  Medicare reassignment
• Confederated Tribes of the Goshute Reservation

  dba Sacred Circle Healthcare

  • Clinic Pharmacy
  • West Valley, UT
  • NPI 1790370955
  NPD
• Shasta Community Health Center

  dba Shasta Community Health Center Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1356815542
  NPD
• Shasta Community Health Center

  dba Enterprise Family Health & Dental Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1669004123
  NPD
• Confederated Tribes of the Goshute Reservation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
  • NPI 1194189233
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1831646843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13594 S HEATHER DAISY DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963300",
            "telephone_number": "661-204-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 S 3200 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192628",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 S 500 W",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012233",
            "country_code": "US",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13933798-1206",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Hall, CSW
• Bailey Hallman, PHYSICIAN ASSISTANT
• Camryn Hamilton
• Breeann Berger Hamp, CSW
• Hanai Family Services LLC
• Kyle D Hansen, PHARMD
• Terry Milo Hansen, OD
• Timothy Hansen
• Jamie Elise Hanson, M.D.
• Christina Kathryn Harden, LCSW

• Physician Assistant in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.