JONATHAN DAVID HANSEN DO
NPI 1699425967
Internal Medicine in Las Vegas, NV

Q: What is Jonathan Hansen's NPI number?

The NPI number for Jonathan Hansen is 1699425967. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Jonathan Hansen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Hansen was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment

1707 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102(702) 676-3650(702) 671-5198 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jonathan David Hansen Do NPPES

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

JONATHAN DAVID HANSEN DO (NPI 1699425967) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3871) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Rocky Vista University College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1699425967

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJONATHAN DAVID HANSENCredential: DO

Location Address1707 W CHARLESTON BLVD STE 100Las Vegas, NV 89102-2352

Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (702) 780-2315

Phone(702) 676-3650

Fax(702) 671-5198

Sole ProprietorNo

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2022

Enumeration DateMarch 28, 2022

Last NPPES UpdateAugust 18, 2025

NPPES CertifiedAugust 18, 2025

✔ NPI 1699425967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · DO3871

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1707 W CHARLESTON BLVD STE 100, Las Vegas, NV 89102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan David Hansen Do 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 ID4789060955

PECOS Enrollment IDI20250905004408

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Hansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unlv Medicine

1.0 mi

Internal Medicine

3016 W CHARLESTON BLVD STE 100
Las Vegas, NV 89102

Reassigned Medicare billing, Nevada enrollment
286 clinicians in this Medicare group

NPI 1407397235 (702) 895-0497

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number290007

Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Other Providers at the Same Location NPPES 20

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

ANDREW TYLER PHAM

Student in an Organized Health Care Education/Training Program