SUSAN JANELLE HANSON PA-C NPI 1114966751

NPI Information

  • NPI: 1114966751
  • Provider Name: SUSAN JANELLE HANSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1707 GOLD DR
    FARGO, ND
    ZIP 58103
  • Phone: (701) 280-2033

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NPI Details

Susan Janelle Hanson, PA-C is a medical physician assistant in Fargo, ND with 22 years of experience. Susan Janelle Hanson, PA-C NPI is 1114966751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

1707 GOLD DR
FARGO, ND
ZIP 58103-413
Phone: (701) 280-2033
Fax: (701) 232-5578

The NPI 1114966751 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Magnesium level (HCPCS:83735)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Removal of impacted ear wax (HCPCS:69210)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 4/5/2019.

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
1363AM0700XPhysician AssistantMedicalPAC0312NORTH DAKOTAYes

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
111277MEDICAIDNORTH DAKOTA
2P50714OTHERHEALTH PARTNERS
324823OTHERNORTH DAKOTAND BLUE SHIELD
4HN10910428OTHERPREFERRED ONE
501-19213OTHERMEDICA
62303752OTHERAMERICAS PPO
7Q25266OTHERNORTH DAKOTAND WORKERS COMP

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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