DR. WESLEY ROBERT HANSON MD NPI 1104821743

NPI Information

  • NPI: 1104821743
  • Provider Name: DR. WESLEY ROBERT HANSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 152 HIGHWAY 143
    ROAN MOUNTAIN, TN
    ZIP 37687
  • Phone: (423) 772-3276

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NPI Details

DR. Wesley Robert Hanson, MD is a family medicine in Roan Mountain, TN with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Wesley Robert Hanson, MD NPI is 1104821743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1981

The provider's business location address is:

152 HIGHWAY 143
ROAN MOUNTAIN, TN
ZIP 37687-002
Phone: (423) 772-3276
Fax: (423) 772-4816

The NPI 1104821743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)
  • Urinalysis, manual test (HCPCS:81002)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)

The enumeration date for this NPI number is 6/20/2005 and was last updated on 1/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine14319TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13198461MEDICAIDTENNESSEE
2B04802MEDICARE UPIN
33198464MEDICARE ID-TYPE UNSPECIFIED
43198464MEDICARE PIN
531984611MEDICARE PIN
6080129463MEDICARE PIN
72007143OTHERTENNESSEEBCBST
83703865MEDICARE PIN
93703860MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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