Individual provider Active NPI

Charlene Campbell Hanson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1871181180
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95016320 Issued in CA
Practice address
1153 Oak St
San Francisco, CA 94117-2216
Phone
(415) 431-9000
Fax
(415) 431-1813
NPI assigned
Jan 4, 2021
Last updated
Mar 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95016320 CA Primary

Addresses

Primary practice location

1153 Oak St
San Francisco, CA 94117-2216

Mailing address

1153 Oak St
San Francisco, CA 94117-2216
Phone (415) 431-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211025002228 CA Practitioner - Nurse Practitioner 5890183818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016320CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prax Medical Ca, PC Psychiatric/Mental Health CurrentSince Dec 23, 2025 Accepting new patients
Hiawatha Harris, Corporation CurrentSince Oct 13, 2021 Accepting new patients
Hiawatha Harris, M.D., Inc. CurrentSince Oct 13, 2021 Accepting new patients
Hiawatha Harris, M.D., Inc. Current Accepting new patients
Hiawatha Harris, M.D., Inc. Past Accepting new patients
Hanson Psychiatric Nursing, a Professional Corporation PastSince May 25, 2025 Accepting new patients

Locations

1700 Broadway
#500
Oakland, CA 94612
Phone (510) 273-4200

1700 Broadway
Ste 500
Oakland, CA 94612
Phone (510) 273-4200

5674 Stoneridge Dr
Ste 207
Pleasanton, CA 94588

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

5214 Diamond Heights Blvd
San Francisco, CA 94131
Phone (510) 224-5934

2608 Central Ave
Ste 1
Union City, CA 94587
Phone (510) 675-0060

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1871181180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 OAK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172216",
            "telephone_number": "415-431-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 OAK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172216",
            "telephone_number": "415-431-9000",
            "fax_number": "415-431-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CHARLENE",
        "middle_name": "CAMPBELL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95016320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.