NPIMap

Individual provider Active NPI

Lance A Hansen, MD

  • Family Medicine Physician
  • Montpelier, ID
National Provider Identifier
1861620262
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-11157 Issued in ID
Practice address
465 Washington St
Montpelier, ID 83254-1544
Phone
(208) 847-4495
Fax
(208) 847-4336
NPI assigned
Jun 24, 2009
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-11157 ID Primary

Addresses

Primary practice location

465 Washington St
Montpelier, ID 83254-1544

Mailing address

465 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000830 ID Practitioner - Family Practice 4688820202 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin County Medical CenterGroup PAC ID 8820909104, 25 clinicians

Practice addresses (Care Compare)

44 N 1St
Preston, ID 83263-1326
Phone (208) 852-0137

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-11157IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital Current Accepting new patients
Franklin County Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Jul 30, 2012 Accepting new patients
Franklin County Medical Center Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Jul 30, 2012 Accepting new patients
Franklin County Medical Center Past Accepting new patients

Locations

465 Washington St
Montpelier, ID 83254
Phone (208) 847-2878

467 Washington St
Montpelier, ID 83254
Phone (208) 847-4495

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

64 N 1st E
Ste 100
Preston, ID 83263
Phone (208) 852-0137

Interoperability endpoints

  • Direct secure messaging: lance.hansen.1@17373.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1861620262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541544",
            "telephone_number": "208-847-4495",
            "fax_number": "208-847-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541544",
            "telephone_number": "208-847-4495",
            "fax_number": "208-847-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LANCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-11157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, ID

Sources for this page

Verify at the official NPI Registry.