Nicole Ann Hanson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1300 N 43Rd Dr
Show Low, AZ 85901-3245

Phone

(928) 940-2161

NPI assigned

Nov 17, 2025

Last updated

Nov 17, 2025By 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

Other names 1

• Nicole Ann Raycraft Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1972463412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 43RD DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859013245",
            "telephone_number": "928-940-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 43RD DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859013245",
            "telephone_number": "928-940-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RAYCRAFT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dylan Joseph Hann, PA-C
• Kimberly Ann Hansen, FNP
• Mason Swede Hansen
• Jaskiranjit Hanson, FNP-BC
• Kathleen Hanson, MA
• Jeremy Kyle Hargrove, DMD
• Payton Harker
• Estelle Theresa Harrison, LPC
• Sara Hart, LCSW
• Haven of Show Low Alf LLC (Haven of Show Low ALF)

• Physician Assistant in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.