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IVY A. HANSEN P.A.-C.
NPI 1164755104
Physician Assistant - Medical in Idaho Falls, ID

Active since September 09, 2009PECOS EnrolledAccepts Medicare Assignment
2065 E 17TH ST, SUITE D, IDAHO FALLS, ID 83404(208) 522-0747(208) 522-9641 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivy A. Hansen P.a.-c. NPPES

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

IVY A. HANSEN P.A.-C. (NPI 1164755104) is an individual medical provider in Idaho Falls, Idaho, licensed in Idaho (PA-814) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164755104
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameIVY A. HANSENCredential: P.A.-C.
Location Address2065 E 17TH ST, SUITE DIdaho Falls, ID 83404-8042
Mailing Address2065 E 17th St, Suite DIdaho Falls, ID 83404-8042 · (208) 522-0747 · Fax (208) 522-9641
Phone(208) 522-0747
Fax(208) 522-9641
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 9, 2009
✔ NPI 1164755104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-814
2065 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivy A. Hansen P.a.-c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799821443
PECOS Enrollment IDI20091009000229
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
55 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services29 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
28 services28 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
25 services20 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
81%234 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%508 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
19%203 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
77%109 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%1,409 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%791 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%1,041 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 11% · 783 patients
9%783 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

MRS. MOLLY SUSAN PHILLIPP C.R.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
OBSTETRICS AND GYNECOLOGY ASSOCIATES OF IDAHO FALLS
Obstetrics & Gynecology
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
ALPINE EAR, NOSE & THROAT, P.C
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2065 E 17TH ST, SUITE B
IDAHO FALLS, ID 83404
Bonneville County (208) 524-7244
DR. GENE K. HODGES M.D.
Family Medicine (Adult Medicine)
2065 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-3301
GENE K. HODGES M.D.
Family Medicine
2065 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-3301
MRS. REBECCA A. WESTERGARD P.A.
Physician Assistant (Medical)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
DANIEL K HINCKLEY MD PA
Specialist
2065 E 17TH ST, ST A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-1764
ALISHA SCOTT PA-C
Physician Assistant
2065 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (800) 640-3451

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 Ivy Hansen's NPI number?

The NPI number for Ivy Hansen is 1164755104. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Ivy Hansen located?

Ivy Hansen practices at 2065 E 17th St Suite D, Idaho Falls, ID 83404. The listed phone number is (208) 522-0747.

What is Ivy Hansen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ivy Hansen enrolled in Medicare?

Yes. Ivy Hansen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ivy Hansen accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Select Health and University of Utah Health Plans list Ivy Hansen 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.

Is Ivy Hansen affiliated with any hospitals?

According to CMS data, Ivy Hansen is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Ivy Hansen was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.