Blake Hansen, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71013978A Issued in IN

Practice address

2801 Bertholet Blvd Ste 201
Valparaiso, IN 46383-7959

Phone

(844) 458-2800

NPI assigned

Jun 2, 2023

Last updated

Feb 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Merit-based Incentive Payment System (MIPS)

Final score

97.76 of 100Reported as apm

Quality

89.59

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blake.hansen.1@23284.direct.athenahealth.com
• Direct secure messaging: bstayrook91775@ssdirect.comhs.org

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.

• Community Care Network Inc

  dba Powers Health Medical Group

  • Family Medicine Physician
  • Saint John, IN
  • NPI 1457610487
  Medicare reassignment Care Compare group NPD
• Munster Radiology Group PC

  • Diagnostic Radiology Physician
  • Munster, IN
  • NPI 1144207101
  NPD (past)
• Northern Indiana Maternal and Child Health Network, Inc

  • Ambulatory Family Planning Facility
  • South Bend, IN
  • NPI 1528151602
  NPD (past)
• Proactive Mso, LLC

  dba Proactive MD Valpo Health Center

  • Primary Care Clinic/Center
  • Valparaiso, IN
  • NPI 1689127474
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1962195016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BERTHOLET BLVD STE 201",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BERTHOLET BLVD STE 201",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837959",
            "telephone_number": "844-458-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 W Morthland Dr",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463856262",
            "country_code": "US",
            "telephone_number": "219-286-3880",
            "fax_number": "219-286-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013978A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Erika Haniford, FNP-C
• Sabine Hankiewicz
• Julie Lynn Hann, RDN
• Kandyce Kraus Hannon, LCSW
• Paul R Hannon, LCAC
• Michael Christopher Hansen, MD
• Karla Joann Hanson, AGACNP-BC
• Floyd Joseph Hardy Jr., DMIN, LMHC
• Megan Hare, PT, DPT
• Anjelina Josefina Haro, LMHC-A , M.A

• Family Nurse Practitioner in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.