Active NPI
Carl W Hansen, M.D.
- Internal Medicine Physician
- Saint Croix Falls, WI
National Provider Identifier
1932210317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17629
- Practice address
- 204 S Adams St
Saint Croix Falls, WI 54024-9449 - Phone
- (715) 483-3221
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17629 | WI | Primary |
Addresses
Primary practice location
204 S Adams St
Saint Croix Falls, WI 54024-9449
Mailing address
204 S Adams St
Saint Croix Falls, WI 54024-9449
Phone (715) 483-3221
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64Q26HA | Other | MN | BLUE CROSS MN PRO FEE |
| HP10546 | Other | HEALTHPARTNERS | |
| 0406274 | Other | MEDICA | |
| 31162400 | Medicaid | WI | |
| 27G34HA | Other | MN | BLUE CROSS MN FACILITY |
| NA9030224004 | Other | PREFERREDONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17629 | WI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932210317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S ADAMS ST",
"city": "SAINT CROIX FALLS",
"state": "WI",
"postal_code": "540249449",
"telephone_number": "715-483-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S ADAMS ST",
"city": "SAINT CROIX FALLS",
"state": "WI",
"postal_code": "540249449",
"telephone_number": "715-483-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CARL",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "17629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MN PRO FEE",
"identifier": "64Q26HA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP10546",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0406274",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31162400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MN FACILITY",
"identifier": "27G34HA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "NA9030224004",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Croix Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.