JACQUELINE MICHELE HANSEN NP-C
NPI 1336734862
Nurse Practitioner - Family in Draper, UT
About Jacqueline Michele Hansen Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MICHELE HANSEN NP-C (NPI 1336734862) is an individual family provider in Draper, Utah, licensed in Utah (8328984-4405) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Jacqueline Michele Hansen Np-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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Hansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Draper, UT 84020
- Reassigned Medicare billing, Utah enrollment
- 3,691 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84020 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Hansen's NPI number?
The NPI number for Jacqueline Hansen is 1336734862. It was assigned to this individual provider in the NPPES registry on March 5, 2021.
Where is Jacqueline Hansen located?
Jacqueline Hansen practices at 12473 S Minuteman Dr, Draper, UT 84020. The listed phone number is (801) 495-7970.
What is Jacqueline Hansen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Hansen enrolled in Medicare?
Yes. Jacqueline 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 organization bills Medicare for Jacqueline Hansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hansen reassigns Medicare benefits to Ihc Health Services Inc (Draper, UT). The 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 Jacqueline Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Hansen was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacqueline Michele Hansen, NP-C · NPI 1336734862
Family physician in Draper, Utah. Individual provider, active in the CMS NPPES registry since March 5, 2021.
## Identity
- **NPI:** 1336734862 (Entity type: Individual)
- **Enumerated:** March 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8328984-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 12473 S MINUTEMAN DR, Draper, UT 84020-7870
- **Phone:** (801) 495-7970
## 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:** Ihc Health Services Inc (NPI 1467878256, Draper, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1336734862) · Data from the CMS NPPES public registry.