Lornell Eugene Hansen II, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4768 Issued in SD

Practice address

3401 S Kelley Ave
Sioux Falls, SD 57106-6300

Phone

(605) 274-0217

Fax

(605) 275-6398

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, MN, IA, AZ, ND, IL, PA7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 7

Specialty

Family Practice

Education

Sanford School of Medicine of University of South Dakota, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G. Spitz, M.D., LTDGroup PAC ID 7517046097, 3 clinicians

Physicians Vein Clinics PCGroup PAC ID 9638356876, 7 clinicians

Physicians Vein Clinics of Pennsylvania PLLCGroup PAC ID 8729515051, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lornell.hansen.1@28859.direct.athenahealth.com

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.

• Physicians Vein Clinics, PC

  • Phlebology Physician
  • Sioux Falls, SD
  • NPI 1720370133

  AZ, IA, MN, ND

  Medicare reassignment Care Compare group NPD Authorized official
• G. Spitz, M.D., LTD

  • Surgery Physician
  • Aurora, IL
  • NPI 1457465866

  Phlebology

  Medicare reassignment Care Compare group NPD Authorized official
• Physicians Vein Clinics of Pennsylvania PLLC

  • Phlebology Physician
  • Lancaster, PA
  • NPI 1356181887
  Medicare reassignment Care Compare group NPD Authorized official
• Lazaderm Skin Care Centre PC

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1003051020
  NPD (past) Authorized official
• Glenn a Kline

  • Surgery Physician
  • Lancaster, PA
  • NPI 1023439072
  NPD (past)
• Roger S Hogue MD PA

  • Specialist
  • Maple Grove, MN
  • NPI 1437560141
  NPD (past)
• Roger S Hogue MD PA

  • Phlebology Physician
  • Maple Grove, MN
  • NPI 1760429237
  NPD (past)
• Southwest Chiropractic. LLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1487864906
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1881640233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S KELLEY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066300",
            "telephone_number": "605-274-0217",
            "fax_number": "605-275-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S KELLEY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066300",
            "telephone_number": "605-274-0217",
            "fax_number": "605-275-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LORNELL",
        "middle_name": "EUGENE",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "30920",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "SD",
            "license": "4768",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "51491",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Hansen
• John Alan Hansen Jr., MD
• Kaitlyn Elaine Hansen, RN, BSN
• Katelynn Marie Hansen, BCBA
• Keith A Hansen, M.D.
• Marie Hansen, PA-C
• Michael Hansen
• Nicole Hansen, RN
• Rita Lynn Hansen, CCDCIII, NCC
• Taylor Hansen

• Family Medicine Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.