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JON C HANSEN PA-C
NPI 1629435748
Physician Assistant - Surgical in Draper, UT

Active since January 20, 2016PECOS EnrolledAccepts Medicare Assignment
96 E KIMBALLS LN STE 207, DRAPER, UT 84020(801) 576-2300(801) 576-2399 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Feb 27, 2017, Jan 20, 2016 (3 updates tracked since 2016).

About Jon C Hansen Pa-c NPPES

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

JON C HANSEN PA-C (NPI 1629435748) is an individual surgical provider in Draper, Utah, licensed in Utah (14260704-1206) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629435748
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJON C HANSENCredential: PA-C
Location Address96 E KIMBALLS LN STE 207Draper, UT 84020-5025
Mailing AddressPo Box 100253Atlanta, GA 30384-0253
Phone(801) 576-2300
Fax(801) 576-2399
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 20, 2016
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1629435748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 14260704-1206
96 E KIMBALLS LN STE 207, Draper, UT 84020
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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

Jon C Hansen Pa-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.

PECOS PAC ID840595120
PECOS Enrollment IDI20260522000935
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 13

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

PAUL FENTON M.D.
Orthopaedic Surgery
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300
BRIAN D POWELL MD
Orthopaedic Surgery (Foot and Ankle Surgery)
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300
JASON HOLDEN PA-C
Physician Assistant (Surgical)
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300
DR. JAMES EARL BREWSTER DO
Orthopaedic Surgery
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300
STUART C MARSHALL JR. MD
Orthopaedic Surgery
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300
MR. PATRICK BARNES P.A.
Physician Assistant
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300
DR. BETSY REESE DO
Family Medicine (Sports Medicine)
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300
CHARLES L. BECK JR. M.D.
Orthopaedic Surgery (Sports Medicine)
96 E KIMBALLS LN STE 207
DRAPER, UT 84020
Salt Lake County (801) 576-2300

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 Jon Hansen's NPI number?

The NPI number for Jon Hansen is 1629435748. It was assigned to this individual provider in the NPPES registry on January 20, 2016.

Where is Jon Hansen located?

Jon Hansen practices at 96 E Kimballs Ln Ste 207, Draper, UT 84020. The listed phone number is (801) 576-2300.

What is Jon Hansen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jon Hansen enrolled in Medicare?

Yes. Jon 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.

When was this NPI record last updated?

The NPPES record for Jon Hansen was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.