MR. MATTHEW VERNON HANSEN PA-C
NPI 1871686444
Physician Assistant - Medical in Randolph, TX

Active since October 02, 2006PECOS Enrolled
221 3RD ST WEST, 12 MEDICAL GROUP, RANDOLPH, TX 78150(210) 652-9836 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Matthew Vernon Hansen Pa-c NPPES

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

MR. MATTHEW VERNON HANSEN PA-C (NPI 1871686444) is an individual medical provider in Randolph, Texas, licensed in (1025979) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871686444
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MATTHEW VERNON HANSENCredential: PA-C
Location Address221 3RD ST WEST, 12 MEDICAL GROUPRandolph, TX 78150-4801
Mailing Address3331 Trailway ParkSan Antonio, TX 78247 · (210) 722-2274
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1871686444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed · 1025979
221 3RD ST WEST, Randolph, TX 78150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Matthew Vernon Hansen Pa-c 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.

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 Matthew Hansen's NPI number?

The NPI number for Matthew Hansen is 1871686444. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Matthew Hansen located?

Matthew Hansen practices at 221 3rd St West 12 Medical Group, Randolph, TX 78150. The listed phone number is (210) 652-9836.

What is Matthew Hansen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matthew Hansen enrolled in Medicare?

Yes. Matthew Hansen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Hansen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.