Individual provider Active NPI

David Jerome Hanson, MD

  • Anesthesiology Physician
  • Fargo, ND
National Provider Identifier
1932262474
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
44547 Issued in MN
Practice address
4225 38TH St S Ste 101
Fargo, ND 58104-7573
Phone
(701) 404-9909
Fax
(877) 813-3081
NPI assigned
Dec 18, 2006
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44547 MN Primary

Addresses

Primary practice location

4225 38TH St S Ste 101
Fargo, ND 58104-7573

Mailing address

4225 38TH St S Ste 101
Fargo, ND 58104-7573
Phone (701) 404-9909

Other identifiers 1

IdentifierTypeStateIssuer
660038700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150724011162 ND Practitioner - AnesthesiologyPractitioner - Pain Management 8729058037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of North Dakota School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2829 University Dr S
Fargo, ND 58103-6050
Phone (701) 818-9178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44547MNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eclectic Therapy Collective PLLC PastSince Sep 8, 2025 Accepting new patients
FM Endoscopy Center LLC PastSince May 1, 2015 Accepting new patients

Organizations & group practices 3

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1932262474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 38TH ST S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047573",
            "telephone_number": "701-404-9909",
            "fax_number": "877-813-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 38TH ST S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047573",
            "telephone_number": "701-404-9909",
            "fax_number": "877-813-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "DAVID",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "44547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660038700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.