KELLEN TAGE HANSEN D.O.
NPI 1396007316
Family Medicine - Sports Medicine in Lehi, UT

Q: What is Kellen Hansen's NPI number?

The NPI number for Kellen Hansen is 1396007316. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Q: What is Kellen Hansen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Kellen Hansen was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment

3401 N CENTER ST STE 100, LEHI, UT 84043(801) 753-7770(801) 753-7775 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2019, Mar 17, 2018, Aug 4, 2017 and 1 more (4 updates tracked since 2017).

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About Kellen Tage Hansen D.o. NPPES

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

KELLEN TAGE HANSEN D.O. (NPI 1396007316) is an individual sports medicine provider in Lehi, Utah, licensed in Utah (10266619-1204) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Caribou Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396007316

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameKELLEN TAGE HANSENCredential: D.O.

Location Address3401 N CENTER ST STE 100Lehi, UT 84043

Mailing Address3401 N Center St Ste 100Lehi, UT 84043-7498 · (801) 753-7770 · Fax (801) 753-7775

Phone(801) 753-7770

Fax(801) 753-7775

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 14, 2012

Last NPPES UpdateNovember 21, 20194 updates tracked since enumeration

✔ NPI 1396007316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in UT · 10266619-1204

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 02004307A (IN)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 10266619-1204 (UT), 02004307A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3401 N CENTER ST STE 100, Lehi, UT 84043

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Secondary Practice Locations 3

Location 1205 N Tillotson AveMuncie, IN 47304-3900 · Phone (765) 288-1928 · Fax (765) 741-0335

Location 212473 S Minuteman DrDraper, UT 84020-7870 · Phone (801) 495-7970 · Fax (801) 495-7990

Location 33943 E Pony Express Pkwy Ste 210Eagle Mountain, UT 84005-5544 · Phone (801) 789-3030 · Fax (801) 789-3039

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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

Kellen Tage Hansen D.o. 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 ID6204071657

PECOS Enrollment IDI20170630001472, I20250729003500

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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

196 services26 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

75 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services32 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

27 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID

OwnershipGovernment - Local

CMS Certification Number131309

Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84043 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 5

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

CURTIS A NIELSEN D.O.

Family Medicine (Sports Medicine)