KAREN E HANSEN MD
NPI 1316914492
Internal Medicine - Rheumatology in Appleton, WI
About Karen E Hansen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN E HANSEN MD (NPI 1316914492) is an individual rheumatology provider in Appleton, Wisconsin, licensed in Wisconsin (35580) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of University Of Wisconsin School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karen E Hansen Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karen Hansen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Monroe Clinic
Acute Care Hospitals · Monroe, WIUnitypoint Health - Meriter
Acute Care Hospitals · Madison, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
APPLETON, WI 54911
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 Karen Hansen's NPI number?
The NPI number for Karen Hansen is 1316914492. It was assigned to this individual provider in the NPPES registry on March 7, 2006.
Where is Karen Hansen located?
Karen Hansen practices at 2500 E Capitol Dr, Appleton, WI 54911. The listed phone number is (920) 729-2933.
What is Karen Hansen's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Karen Hansen enrolled in Medicare?
Yes. Karen 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.
Which organizations bill Medicare for Karen Hansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Hansen reassigns Medicare benefits to 2 organizations: Thedacare, Incorporated (Menasha, WI) and The Monroe Clinic, Inc. (Monroe, WI). Each 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 Karen Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Hansen accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and Quartz list Karen 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 Karen Hansen affiliated with any hospitals?
According to CMS data, Karen Hansen is affiliated with The Monroe Clinic, Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Karen Hansen was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Karen E Hansen, MD · NPI 1316914492
Rheumatology physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since March 7, 2006.
## Identity
- **NPI:** 1316914492 (Entity type: Individual)
- **Enumerated:** March 7, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 35580 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 E CAPITOL DR, Appleton, WI 54911-8735
- **Phone:** (920) 729-2933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thedacare, Incorporated (NPI 1306959515, Menasha, WI); The Monroe Clinic, Inc. (NPI 1386720548, Monroe, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** October 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1316914492) · Data from the CMS NPPES public registry.