Active NPI
Scott Eric Hansen, ARNP
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1962896415
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60541983
- Practice address
- 1123 Pacific Ave
Tacoma, WA 98402-4303 - Phone
- (253) 682-6052
- NPI assigned
- Mar 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9324637 | FL | |
| Family Nurse Practitioner | 363LF0000X | AP60541983 | WA | Primary |
Addresses
Primary practice location
1123 Pacific Ave
Tacoma, WA 98402-4303
Mailing address
1123 Pacific Ave
Tacoma, WA 98402-4303
Phone (253) 682-6052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9324637 | FL | MD | Family Nurse Practitioner |
| AP60541983 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1962896415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024303",
"telephone_number": "253-682-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024303",
"telephone_number": "253-682-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "SCOTT",
"middle_name": "ERIC",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-23",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9324637",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60541983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.