SCOTT ANDREW HANSON PAC
NPI 1457666752
Physician Assistant - Medical in Salt Lake City, UT

Active since August 11, 2010PECOS Enrolled
565 KOMAS DR., SALT LAKE CITY, UT 84108(801) 584-5144(801) 584-5206 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Andrew Hanson Pac NPPES

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

SCOTT ANDREW HANSON PAC (NPI 1457666752) is an individual medical provider in Salt Lake City, Utah, licensed in New Mexico (PA2010-0037) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457666752
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSCOTT ANDREW HANSONCredential: PAC
Location Address565 KOMAS DR.Salt Lake City, UT 84108
Mailing Address565 Komas Dr.Salt Lake City, UT 84108 · (801) 584-5144 · Fax (801) 584-5206
Fax(801) 584-5206
Sole ProprietorNo
Enumeration DateAugust 11, 2010
Last NPPES UpdateFebruary 14, 2019
NPI 1457666752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NM · PA2010-0037
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2010-0037 (NM)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2010-0037 (NM)
565 KOMAS DR., Salt Lake City, UT 84108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Scott Andrew Hanson Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

Pharmacist
565 KOMAS DR.
SALT LAKE CITY, UT 84108
Family Medicine
565 KOMAS DR.
SALT LAKE CITY, UT 84108

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 Scott Hanson's NPI number?

The NPI number for Scott Hanson is 1457666752. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Scott Hanson located?

Scott Hanson practices at 565 Komas Dr., Salt Lake City, UT 84108. The listed phone number is (801) 584-5144.

What is Scott Hanson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Scott Hanson enrolled in Medicare?

Yes. Scott Hanson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Hanson was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.