JAKE HANSEN PA-C
NPI 1366378812
Physician Assistant - Medical in Auburn, NY
Active since June 22, 2026
About Jake Hansen Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE HANSEN PA-C (NPI 1366378812) is an individual medical provider in Auburn, New York and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1366378812
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAKE HANSENCredential: PA-C
Location Address17 LANSING STAuburn, NY 13021-1983
Mailing Address7 Bowen StAuburn, NY 13021-1628 · (315) 246-9190
Phone(315) 255-7075
Sole ProprietorNo
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1366378812 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
17 LANSING ST, Auburn, NY 13021
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.
Pathology (Anatomic Pathology & Clinical Pathology)
17 LANSING ST
AUBURN, NY 13021
AUBURN, NY 13021
Pathology (Anatomic Pathology & Clinical Pathology)
17 LANSING ST
AUBURN, NY 13021
AUBURN, NY 13021
Social Worker (Clinical)
17 LANSING ST, VA CLINIC AUBURN MEM. HOSP.
AUBURN, NY 13021
AUBURN, NY 13021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366378812, enumerated as an "individual" on June 22, 2026.
The provider is located at 17 LANSING ST AUBURN, NY 13021 and the phone number is (315) 255-7075.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
