Active NPI
Hansen Medical PC
- Family Medicine Physician
- Grand Island, NE
National Provider Identifier
1851306583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HANSEN MEDICAL PC
- Doing business as
- Hansen Medical PC
- Practice address
- 3016 W Faidley Ave
Grand Island, NE 68803 - Phone
- (308) 381-8546
- Fax
- (308) 381-8550
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Connie L Reimers, CMOM
- Title
- Office Manager
- Phone
- (308) 381-8546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3016 W Faidley Ave
Grand Island, NE 68803
Mailing address
3016 W Faidley Ave
Grand Island, NE 68803
Phone (308) 381-8546
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080104974 | Other | NE | RAILROAD MEDICARE |
| 272911 | Other | IND | |
| 275317 | Other | IND | |
| 267431 | Other | MA | IND |
| 10025386100 | Medicaid | NE | |
| 35930 | Other | BCBS | |
| 38552 | Other | BCBS | |
| 00998 | Other | BCBS | |
| 080183038 | Other | NE | RAILROAD MEDICARE |
| 10025353400 | Medicaid | NE | |
| 970015612 | Other | NE | RAILROAD MEDICARE |
Other names 1
- Hansen Medical PC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Alliance, NE
- NPI 1811071442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1851306583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W FAIDLEY AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "68803",
"telephone_number": "308-381-8546",
"fax_number": "308-381-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 W FAIDLEY AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "68803",
"telephone_number": "308-381-8546",
"fax_number": "308-381-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANSEN MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "REIMERS",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "308-381-8546",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CMOM"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080104974",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND",
"identifier": "272911",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND",
"identifier": "275317",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND",
"identifier": "267431",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025386100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35930",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "38552",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00998",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080183038",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025353400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970015612",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hansen Medical PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.