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DWAYNE M. HANSEN MD PLLC
NPI 1114024650
Surgery in Rexburg, ID

Active since September 19, 2006
381 EAST 4TH NORTH STREET, SUITE 100, REXBURG, ID 83440(208) 656-8442(208) 656-8453 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dwayne M. Hansen Md Pllc NPPES

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

DWAYNE M. HANSEN MD PLLC (NPI 1114024650) is a healthcare organization registered as a surgery in Rexburg, Idaho and active in the NPI registry since September 2006. The organization lists Dwayne M. Hansen, Owner, as its authorized official.

NPPES Registry Identity

NPI1114024650
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDWAYNE M. HANSEN MD PLLC
Location Address381 EAST 4TH NORTH STREET, SUITE 100Rexburg, ID 83440
Mailing AddressPo Box 185Rexburg, ID 83440-0185 · (208) 656-8442 · Fax (208) 656-8453
Phone(208) 656-8442
Fax(208) 656-8453
Organization SubpartNo
Authorized OfficialDwayne M. HansenOwner · (208) 656-8442
Enumeration DateSeptember 19, 2006
Last NPPES UpdateDecember 6, 2007
✔ NPI 1114024650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
381 EAST 4TH NORTH STREET, Rexburg, ID 83440
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dwayne M. Hansen Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dwayne M. Hansen MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dwayne Hansen, M.D.
General Surgery
NPI 1376581546
381 EAST 4TH NORTH STE 100
Rexburg, ID 83440
(208) 656-8442
✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dwayne M. Hansen MD PLLC's NPI number?

The NPI number for Dwayne M. Hansen MD PLLC is 1114024650. It was assigned to this organization in the NPPES registry on September 19, 2006.

Where is Dwayne M. Hansen MD PLLC located?

Dwayne M. Hansen MD PLLC is located at 381 East 4th North Street Suite 100, Rexburg, ID 83440. The listed phone number is (208) 656-8442.

What is Dwayne M. Hansen MD PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dwayne M. Hansen MD PLLC enrolled in Medicare?

Yes. Dwayne M. Hansen MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dwayne M. Hansen MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Dwayne M. Hansen MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dwayne M. Hansen MD PLLC accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Dwayne M. Hansen MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dwayne M. Hansen MD PLLC was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.