Dr Blake Hansen, DNP, FNP-C in Valparaiso, IN

Dr Blake Hansen, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Valparaiso, Indiana. Her current practice location is 1200 Roosevelt Pl Ste 102, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 282-3230.

Dr Blake Hansen is licensed to practice in Indiana (license number 71013978A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962195016.

Contact Information

	Dr Blake Hansen, DNP, FNP-C
	1200 Roosevelt Pl Ste 102, Valparaiso, IN 46383-3707
	(574) 282-3230
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Blake Hansen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1200 Roosevelt Pl Ste 102, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962195016
Provider Enumeration Date: 06/02/2023
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4789044090
Enrollment ID: I20230718003964

Medical Identifiers

Medical identifiers for Dr Blake Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962195016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71013978A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Blake Hansen allows following entities to bill medicare on her behalf.

Entity Name	Community Care Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Blake Hansen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Blake Hansen, DNP, FNP-C 526 S 250 W, Valparaiso, IN 46385-9620 Ph: (317) 797-2012	Dr Blake Hansen, DNP, FNP-C 1200 Roosevelt Pl Ste 102, Valparaiso, IN 46383-3707 Ph: (574) 282-3230

Reviews and Comments

Nurse Practitioner Nurses in Valparaiso, IN

Elizabeth Victoria Moerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Lincolnway, Valparaiso, IN 46383 Phone: 219-247-4003 Fax: 574-203-9702
Asha Koshy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-462-7173 Fax: 219-462-7504
Kathleen Decorte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Leonard Dr, Valparaiso, IN 46383 Phone: 219-531-5855 Fax: 219-531-1617
Ms. Chrysanthemum M Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383 Phone: 219-531-0200 Fax: 219-531-0045
Frances Denean Laka, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383 Phone: 574-215-1039
Mrs. Karla Joann Hanson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383 Phone: 219-263-7240
Mrs. Nicole Yvette Richards, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2307 Laporte Ave Ste 8, Valparaiso, IN 46383 Phone: 219-464-7073 Fax: 219-464-7543

Dr Blake Hansen, DNP, FNP-C - Medicare Nurse Practitioner in Valparaiso, IN