KEELY FITZGERALD HANSON PA-C NPI 1205142924

NPI Information

  • NPI: 1205142924
  • Provider Name: KEELY FITZGERALD HANSON, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 MICHELS WAY UNIT 102
    LONDONDERRY, NH
    ZIP 03053
  • Phone: (603) 537-1300

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NPI Details

Keely Fitzgerald Hanson, PA-C is a physician assistant in Londonderry, NH. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Keely Fitzgerald Hanson, PA-C NPI is 1205142924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

50 MICHELS WAY UNIT 102
LONDONDERRY, NH
ZIP 03053-499
Phone: (603) 537-1300

The NPI 1205142924 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 enumeration date for this NPI number is 8/19/2010 and was last updated on 9/17/2025.

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
1363A00000XPhysician Assistant3051NEW HAMPSHIREYes

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
18035121-1206OTHERUTAHUT MEDICAL LICENSE
213520505OTHERUTAHCAQH
31205142924OTHERUTAHNPI
4UT014851OTHERUTAHUT MEDICAL LIABILITY
58035121-8906OTHERUTAHUT CONTROLLED SUBSTANCE
6U000088825OTHERUTAHPTAN

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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