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BEVERLY HANSON PA
NPI 1003874389
Physician Assistant - Surgical in Blackfoot, ID

Active since May 03, 2006
98 POPLAR ST, BLACKFOOT, ID 83221(208) 782-3993(208) 782-3994 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Hanson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY HANSON PA (NPI 1003874389) is an individual surgical provider in Blackfoot, Idaho, licensed in Idaho (PAG-012) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1003874389
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBEVERLY HANSONCredential: PA
Location Address98 POPLAR STBlackfoot, ID 83221-1758
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 782-3993 · Fax (208) 782-3994
Phone(208) 782-3993
Fax(208) 782-3994
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 9, 2008
✔ NPI 1003874389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ID · PAG-012
98 POPLAR ST, Blackfoot, ID 83221
Open in Google Maps ↗

Other Identifiers 10

Medicare PIN1667444ID
Medicare PIN16674441ID
Medicaid807338600ID
Medicare UPINP55805ID
Other000010154328ID · Regence Blue Shield
Other000010167603ID · Rbs Lamere
OtherHB405ID · Blue Cross
OtherHPAC6ID · Blue Cross Old
Medicare PINP00456536ID
OtherPAJ80ID · Bcs Lamere

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAN EARL ROBINSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 690-0394
AMANDA WRAY RPH
Pharmacist
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 782-2990
SAMANTHA HRABIK FNP-C
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 251-2408
DR. JASON CHRISTOPHER BELL D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-5801
ABBY JAN WILSON FNP-BC, RD, CDCES
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-4100
MS. SUZANNE GODFREY LCPC, NCC
Counselor
98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221
Bingham County (208) 785-3800
SCOTT RYAN MANGUM PA-C
Physician Assistant (Medical)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-4100
BINGHAM MEMORIAL HOSPITAL
Medicare Defined Swing Bed Unit
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Hanson's NPI number?

The NPI number for Beverly Hanson is 1003874389. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Beverly Hanson located?

Beverly Hanson practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 782-3993.

What is Beverly Hanson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Beverly Hanson was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.