NICOLE ANDREA HANSON APRN, BC
NPI 1245237809
Nurse Practitioner in Great Falls, MT

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1101 26TH ST S, GREAT FALLS, MT 59405(406) 731-8888 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2024, Apr 2, 2021, Apr 25, 2018 (3 updates tracked since 2018).

About Nicole Andrea Hanson Aprn, Bc NPPES

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

NICOLE ANDREA HANSON APRN, BC (NPI 1245237809) is an individual nurse practitioner in Great Falls, Montana, licensed in Montana (101488) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1245237809
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE ANDREA HANSONCredential: APRN, BC
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing Address1101 26th St SGreat Falls, MT 59405-5161 · (406) 731-8888
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 28, 2005
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
NPI 1245237809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MT · 101488
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1101 26TH ST S, Great Falls, MT 59405

Other Identifiers 6

Medicaid255496800MN
MedicaidENROLLEDSD
MedicaidENROLLEDIA
MedicaidENROLLEDWI
MedicaidENROLLEDMN
OtherP01089516MN · Railroad Medicare

Accepted 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

Nicole Andrea Hanson Aprn, Bc 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 ID4688664691
PECOS Enrollment IDI20160108001461
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
374 services157 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
155 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
142 services135 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers17 claims17 services$7.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers13 claims13 services$81.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Radiology (Diagnostic Radiology)
1101 26TH ST S
GREAT FALLS, MT 59405

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 Nicole Hanson's NPI number?

The NPI number for Nicole Hanson is 1245237809. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Nicole Hanson located?

Nicole Hanson practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is Nicole Hanson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Hanson enrolled in Medicare?

Yes. Nicole Hanson 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 Nicole Hanson accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Nicole Hanson 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 Nicole Hanson affiliated with any hospitals?

According to CMS data, Nicole Hanson is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Nicole Hanson was last updated on April 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.