Peter A Hanson, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

13177 Issued in NV

Practice address

930 Tahoe Blvd
Suite 207
Incline Village, NV 89451-9451

Phone

(775) 833-2929

Fax

(775) 833-0277

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Family Practice

Education

University of Minnesota Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1275714677

  NV

  Medicare reassignment Care Compare group NPD
• Northern Nevada Hyperbarics, Inc.

  dba Northern Nevada Hyperbarics

  • Medical Specialty Clinic/Center
  • Reno, NV
  • NPI 1073771796
  Medicare reassignment NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Reno, NV
  • NPI 1487996054
  NPD
• Saint Marys Medical Group Inc.

  dba Saint Mary's Medical Group

  • Primary Care Clinic/Center
  • Reno, NV
  • NPI 1538424239
  NPD
• Incline Village Urgent Care Inc

  • Family Medicine Physician
  • Incline Village, NV
  • NPI 1649475419
  NPD (past)
• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  NPD (past)
• Prime Healthcare Services - Reno LLC

  dba Saint Mary's Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  NPD (past)
• Sparks Family Hospital Inc

  dba Northern Nevada Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)
• Sports and Orthopaedic Specialists, PA

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Edina, MN
  • NPI 1194751552
  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": "1487894400000",
    "number": "1942256169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MCDONALD DR",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519133",
            "telephone_number": "612-384-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 TAHOE BLVD",
            "address_2": "SUITE 207",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519451",
            "telephone_number": "775-833-2929",
            "fax_number": "775-833-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "13177",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NV",
            "license": "13177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566717800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Gaines, M.A. CCC-SLP
• Gina Galle, R.N.
• Ronald Goldberg, MD
• Hallmark Homecare, Inc.
• Hallmark Homecare, LLC
• Lindsay Fletcher Hardie, PHD
• Christina Ann Harding, M.D.
• Elizabeth Healy Hawkins, LCSW
• Timothy Joseph Heilman, M.D.
• Dianne Lory Higgins, MD

• Sports Medicine (Family Medicine) Physician in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Sports Medicine (Family Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.