Individual provider Active NPI

Hun Hee Han

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1952957987
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
949833 Issued in WI
Practice address
3604 Galley Rd Ste 201
Colorado Springs, CO 80909-4301
Phone
(719) 638-4548
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 949833 WI Primary

Addresses

Primary practice location

3604 Galley Rd Ste 201
Colorado Springs, CO 80909-4301

Mailing address

3604 Galley Rd Ste 201
Colorado Springs, CO 80909-4301
Phone (719) 638-4548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210329001192 CO Practitioner - Nurse Practitioner 7416386149

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Medical Clinic LLCGroup PAC ID 5991117640, 3 clinicians

Practice addresses (Care Compare)

3604 Galley Rd
Suite 201
Colorado Springs, CO 80909-4301
Phone (719) 638-4548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
949833WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Medical Clinic, LLC CurrentSince Apr 1, 2021 Accepting new patients
Quality Rehab Inc Past Accepting new patients

Locations

3604 Galley Rd
Ste 201
Colorado Springs, CO 80909
Phone (719) 634-4548

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFEADD/Endpoint/DFEADD

Organizations & group practices 2

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1952957987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094301",
            "telephone_number": "719-638-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094301",
            "telephone_number": "719-638-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "HUN HEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "949833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.