MARK HANSON
NPI 1780030387
Counselor - Professional in Shakopee, MN

Active since May 12, 2016PECOS Enrolled
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379(952) 428-4062 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2018, May 12, 2016 (2 updates tracked since 2016).

About Mark Hanson NPPES

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

MARK HANSON (NPI 1780030387) is an individual professional provider in Shakopee, Minnesota, licensed in Minnesota (CC01712) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780030387
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK HANSON
Location Address1455 SAINT FRANCIS AVEShakopee, MN 55379-3374
Mailing Address513 Gooseberry LnDundas, MN 55019-3978
Sole ProprietorNo
Enumeration DateMay 12, 2016
Last NPPES UpdateFebruary 13, 20182 updates tracked since enumeration
NPI 1780030387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · CC01712
1455 SAINT FRANCIS AVE, Shakopee, MN 55379

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark Hanson 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.

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.

Optometrist
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Emergency Medicine
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Dietitian, Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Hospitalist
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Anesthesiology
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379

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 Mark Hanson's NPI number?

The NPI number for Mark Hanson is 1780030387. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Mark Hanson located?

Mark Hanson practices at 1455 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 428-4062.

What is Mark Hanson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mark Hanson enrolled in Medicare?

Yes. Mark Hanson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Hanson was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.