| Mrs Heidi Ann Hansen, APRN, CNP | |
|
366 E George St, Ivanhoe, MN 56142-9711 | |
| (507) 694-1377 | |
| (507) 694-1379 |
| Full Name | Mrs Heidi Ann Hansen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 366 E George St, Ivanhoe, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629414578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R180645-2 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3686 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera At Home Marshall | Marshall, MN | Home health agency |
| Avera Tyler Hospital | Tyler, MN | Hospital |
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tyler Medical Clinic Inc | 1557252533 | 3 |
| Avera Tyler | 9638088537 | 12 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20031103000411 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Tyler Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649223439 PECOS PAC ID: 1557252533 Enrollment ID: O20040320000679 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326102237 PECOS PAC ID: 9638088537 Enrollment ID: O20070215000805 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heidi Ann Hansen, APRN, CNP 366 E George St, Ivanhoe, MN 56142-9711 Ph: (507) 694-1377 | Mrs Heidi Ann Hansen, APRN, CNP 366 E George St, Ivanhoe, MN 56142-9711 Ph: (507) 694-1377 |
Dawn R Bucher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Saxon Ave West, Ivanhoe, MN 56142 Phone: 507-694-1232 |