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BLAKE ALEXANDER HANSON PA-C
NPI 1679128672
Physician Assistant in Tulsa, OK

Active since August 06, 2019PECOS EnrolledAccepts Medicare Assignment
91.24/100
CMS Quality Rating
2000 S WHEELING AVE STE 900, TULSA, OK 74104(918) 403-6284(918) 403-6323 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2020, Aug 6, 2019 (2 updates tracked since 2019).

About Blake Alexander Hanson Pa-c NPPES

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

BLAKE ALEXANDER HANSON PA-C (NPI 1679128672) is an individual physician assistant in Tulsa, Oklahoma and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679128672
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE ALEXANDER HANSONCredential: PA-C
Location Address2000 S WHEELING AVE STE 900Tulsa, OK 74104-5647
Mailing Address2000 S Wheeling Ave Ste 900Tulsa, OK 74104-5647 · (918) 403-6284 · Fax (918) 403-6323
Phone(918) 403-6284
Fax(918) 403-6323
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 6, 2019
Last NPPES UpdateMarch 31, 20202 updates tracked since enumeration
NPPES CertifiedMarch 31, 2020
✔ NPI 1679128672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2000 S WHEELING AVE STE 900, Tulsa, OK 74104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.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

Blake Alexander Hanson 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 ID648604801
PECOS Enrollment IDI20191220000844
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.

Hospital Affiliations CMS Care Compare

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

SALLY E HARRIS APRN-BC
Nurse Practitioner (Family)
2000 S WHEELING AVE STE 900
TULSA, OK 74104
Tulsa County (918) 403-3065
DR. BRIDGET THERESA DAVIS AU.D.
Audiologist
2000 S WHEELING AVE STE 900
TULSA, OK 74104
Tulsa County (918) 403-6284
CHANGXING LIU MD
Otolaryngology
2000 S WHEELING AVE STE 900
TULSA, OK 74104
Tulsa County (918) 403-6284
MR. BLAKE WESLEY JOHNSON PA-C
Physician Assistant
2000 S WHEELING AVE STE 900
TULSA, OK 74104
Tulsa County (918) 403-6284

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 Blake Hanson's NPI number?

The NPI number for Blake Hanson is 1679128672. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Blake Hanson located?

Blake Hanson practices at 2000 S Wheeling Ave Ste 900, Tulsa, OK 74104. The listed phone number is (918) 403-6284.

What is Blake Hanson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Blake Hanson enrolled in Medicare?

Yes. Blake Hanson 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.

What insurance does Blake Hanson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Blake Hanson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Blake Hanson affiliated with any hospitals?

According to CMS data, Blake Hanson is affiliated with Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Hanson was last updated on March 31, 2020. 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.