BLAKE HANSEN D.O.
NPI 1285080853
Family Medicine in Rogers, AR

Active since May 12, 2016Opted out of Medicare · through Sep 22, 2027
4803 W HIGHLAND KNOLLS RD STE 150, ROGERS, AR 72758(479) 337-7521(479) 888-1408 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2025, Jul 8, 2022, Sep 11, 2020 and 2 more (5 updates tracked since 2016).

About Blake Hansen D.o. NPPES

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

BLAKE HANSEN D.O. (NPI 1285080853) is an individual family medicine provider in Rogers, Arkansas, licensed in Arkansas (E-12376) and active in the NPI registry since May 2016. He has opted out of Medicare through September 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285080853
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBLAKE HANSENCredential: D.O.
Location Address4803 W HIGHLAND KNOLLS RD STE 150Rogers, AR 72758-6255
Mailing Address4803 W Highland Knolls Rd Ste 150Rogers, AR 72758-6255 · (479) 337-7521 · Fax (479) 888-1408
Fax(479) 888-1408
Sole ProprietorNo
Enumeration DateMay 12, 2016
Last NPPES UpdateMarch 14, 20255 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
NPI 1285080853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E-12376
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4803 W HIGHLAND KNOLLS RD STE 150, Rogers, AR 72758

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Blake Hansen D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 22, 2023 through September 22, 2027.

Opt-Out Effective DateSeptember 22, 2023
Opt-Out In Effect ThroughSeptember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
4803 W HIGHLAND KNOLLS RD STE 150
ROGERS, AR 72758

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 Blake Hansen's NPI number?

The NPI number for Blake Hansen is 1285080853. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Blake Hansen located?

Blake Hansen practices at 4803 W Highland Knolls Rd Ste 150, Rogers, AR 72758. The listed phone number is (479) 337-7521.

What is Blake Hansen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blake Hansen enrolled in Medicare?

No. Blake Hansen has opted out of Medicare through September 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Blake Hansen accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Blake 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.

When was this NPI record last updated?

The NPPES record for Blake Hansen was last updated on March 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.