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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRACIE LYN HANSEN B.S.
NPI 1639779523
Case Manager/Care Coordinator in Pocatello, ID

Active since October 29, 2020
1246 YELLOWSTONE AVE STE B4, POCATELLO, ID 83201(208) 705-1009 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Apr 10, 2023, Oct 29, 2020 (3 updates tracked since 2020).

About Tracie Lyn Hansen B.s. NPPES

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

TRACIE LYN HANSEN B.S. (NPI 1639779523) is an individual case manager/care coordinator provider in Pocatello, Idaho and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1639779523
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTRACIE LYN HANSENCredential: B.S.
Location Address1246 YELLOWSTONE AVE STE B4Pocatello, ID 83201-4372
Mailing Address1246 Yellowstone Ave Ste B4Pocatello, ID 83201-4372 · (208) 705-1009
Phone(208) 705-1009
Sole ProprietorYes
Enumeration DateOctober 29, 2020
Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1639779523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedPeer SpecialistTaxonomy 175T00000X · License CPSS055 (ID)
1246 YELLOWSTONE AVE STE B4, Pocatello, ID 83201
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Other Names 1

Former Name (1)Tracie Lyn Burrup

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.

RACHEL ELIZABETH AYERS LPC
Counselor (Mental Health)
1246 YELLOWSTONE AVE STE B4
POCATELLO, ID 83201
Bannock County (208) 705-1009
MARK ANDREW QUINTON
Case Manager/Care Coordinator
1246 YELLOWSTONE AVE STE B4
POCATELLO, ID 83201
Bannock County (208) 705-1009

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 Tracie Hansen's NPI number?

The NPI number for Tracie Hansen is 1639779523. It was assigned to this individual provider in the NPPES registry on October 29, 2020. The provider is also known as Tracie Lyn Burrup.

Where is Tracie Hansen located?

Tracie Hansen practices at 1246 Yellowstone Ave Ste B4, Pocatello, ID 83201. The listed phone number is (208) 705-1009.

What is Tracie Hansen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Tracie Hansen was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.