MULLOY G HANSEN M.D
NPI 1538358635
Family Medicine in Lewiston, ID

Q: What is Mulloy Hansen's NPI number?

The NPI number for Mulloy Hansen is 1538358635. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Q: What is Mulloy Hansen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mulloy Hansen was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 15, 2007PECOS Enrolled

338 6TH ST STE 101, LEWISTON, ID 83501(120) 884-8830(509) 444-7806 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mulloy G Hansen M.d NPPES

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

MULLOY G HANSEN M.D (NPI 1538358635) is an individual family medicine provider in Lewiston, Idaho, licensed in Idaho (M-10654) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538358635

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMULLOY G HANSENCredential: M.D

Location Address338 6TH ST STE 101Lewiston, ID 83501-2419

Mailing Address203 N Washington St Ste 300Spokane, WA 99201-0233 · (509) 444-8888 · Fax (509) 444-7806

Phone(120) 884-8830

Fax(509) 444-7806

Sole ProprietorYes

Enumeration DateOctober 15, 2007

Last NPPES UpdateJune 29, 2011

✔ NPI 1538358635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · M-10654✔ Licensed in WA · MD00015580

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

338 6TH ST STE 101, Lewiston, ID 83501

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Other Identifiers 2

Medicare UPINA04653WA

Medicaid7081771WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mulloy G Hansen M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$40.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DAMILOLA EWONUBARI OLUPONA DO

Family Medicine

338 6TH ST STE 101
LEWISTON, ID 83501

Nez Perce County (208) 848-8300

MAREE P MCHUGH FNP

Nurse Practitioner (Community Health)

338 6TH ST STE 101
LEWISTON, ID 83501

Nez Perce County (208) 848-8300

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 Mulloy Hansen's NPI number?

The NPI number for Mulloy Hansen is 1538358635. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Mulloy Hansen located?

Mulloy Hansen practices at 338 6th St Ste 101, Lewiston, ID 83501. The listed phone number is (120) 884-8830.

What is Mulloy Hansen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mulloy Hansen enrolled in Medicare?

Yes. Mulloy Hansen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mulloy Hansen was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.