Individual provider Active NPI

Jaron Jay Hansen, MD

  • Diagnostic Radiology Physician
  • Wright Patterson AFB, OH
National Provider Identifier
1952921843
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101274497 Issued in VA
Practice address
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone
(937) 904-1092
NPI assigned
Apr 21, 2020
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101274497 VA Primary
General Practice Physician 208D00000X 0101274497 VA

Addresses

Primary practice location

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529

Mailing address

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NV, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20260205000954 LA Practitioner - Diagnostic Radiology 6204337389 Reassigns benefits to 1 organization
Practice locations: Alexandria, LA
I20260223001066 NV Practitioner - Diagnostic Radiology 6204337389 Reassigns benefits to 2 organizations
I20260312003606 OH Practitioner - Diagnostic Radiology 6204337389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101274497VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Bird Perkins Cancer Center Diagnostic Radiology CurrentSince Jan 4, 2026 Accepting new patients
J Paul Wiesner & Associates Chartered Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
John a Shields MD and Steven a Schiff MD a Professional Corporation CurrentSince Feb 1, 2026 Accepting new patients
Pueblo Medical Imaging, LLC Diagnostic Radiology CurrentSince Feb 4, 2026 Accepting new patients
John a Shields MD and Steven a Schiff MD a Professional Corporation CurrentSince Feb 1, 2026 Accepting new patients

Locations

4950 Essen Ln
St George, LA 70809
Phone (225) 215-1311

5423 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0873

Organizations & group practices 5

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1952921843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-904-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JARON",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101274497",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101274497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright Patterson AFB, OH

Sources for this page

Verify at the official NPI Registry.