1. Home
  2. Directory
  3. Idaho
  4. Moscow
  5. Nurse Practitioner
  6. NPI Profile

TIKI HANSEN PMH-NP
NPI 1932659422
Nurse Practitioner - Psychiatric/Mental Health in Moscow, ID

Active since October 07, 2016PECOS EnrolledAccepts Medicare Assignment
623 S MAIN ST STE 1, MOSCOW, ID 83843(208) 882-2011(208) 883-1853 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tiki Hansen Pmh-np NPPES

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

TIKI HANSEN PMH-NP (NPI 1932659422) is an individual psychiatric/mental health provider in Moscow, Idaho, licensed in Idaho (2661579) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and is a graduate of Drexel University College Of Medicine (2016).

NPPES Registry Identity

NPI1932659422
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIKI HANSENCredential: PMH-NP
Location Address623 S MAIN ST STE 1Moscow, ID 83843-3042
Mailing AddressPo Box 8007Moscow, ID 83843-0507
Phone(208) 882-2011
Fax(208) 883-1853
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2016
Enumeration DateOctober 7, 2016
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1932659422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 2661579
623 S MAIN ST STE 1, Moscow, ID 83843
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.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

Tiki Hansen Pmh-np 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 ID6709166291
PECOS Enrollment IDI20250221003210
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 Reassignments

9

Medicare enrollment records show Tiki Hansen reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gritman Medical Center Inc
0.1 mi
Critical Access
700 S MAIN ST
Moscow, ID 83843
  • Reassigned Medicare billing, Idaho enrollment
  • 62 clinicians in this Medicare group
NPI 1619988144 (208) 882-4511
Gritman Medical Center, Inc.
0.8 mi
Family Medicine
623 S MAIN ST STE 1
Moscow, ID 83843
  • Reassigned Medicare billing, Idaho enrollment
  • 28 clinicians in this Medicare group
NPI 1538634522 (208) 882-2011
Rumford Hospital
2,222 mi
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
NPI 1205991122 (207) 369-1000
Bridgton Hospital
2,227 mi
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
NPI 1154370153 (207) 795-5709
Central Maine Medical Center
2,249 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646
Health Access Network, Inc.
2,282 mi
Federally Qualified Health Center (FQHC)
24 BALSAM DR
Millinocket, ME 04462
  • Reassigned Medicare billing, Maine enrollment
  • 25 clinicians in this Medicare group
NPI 1760640189 (207) 794-6700
Aroostook Mental Health Services, Inc.
2,290 mi
Mental Health (Including Community Mental Health Center)
180 ACADEMY ST STE 2
Presque Isle, ME 04769
  • Reassigned Medicare billing, Maine enrollment
  • 42 clinicians in this Medicare group
NPI 1487601399 (207) 764-3319
Acadia Hospital Corp
2,298 mi
Psychiatric Hospital
268 STILLWATER AVENUE
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 348 clinicians in this Medicare group
NPI 1215940523 (207) 973-6470
Regional Medical Center At Lubec
2,362 mi
Federally Qualified Health Center (FQHC)
893 MAIN ST
East Machias, ME 04630
  • Reassigned Medicare billing, Maine enrollment
  • 10 clinicians in this Medicare group
NPI 1104967884 (207) 255-0102

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.

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 11

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

CAREN LOOMIS COX
Counselor (Mental Health)
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
WENDY MONIQUE GOODRICH PA C
Physician Assistant
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
KYRSTEN E STOOPS MD
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
SUMMER LYNN DAY MD
Pediatrics
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
GRITMAN MEDICAL CENTER, INC.
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
AMY ELIZABETH DUDLEY
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
DR. BRYN ELISE PARKER M.D.
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011
ROBIN ASHLEY SAUTTER MD
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Latah County (208) 882-2011

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 Tiki Hansen's NPI number?

The NPI number for Tiki Hansen is 1932659422. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Tiki Hansen located?

Tiki Hansen practices at 623 S Main St Ste 1, Moscow, ID 83843. The listed phone number is (208) 882-2011.

What is Tiki Hansen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tiki Hansen enrolled in Medicare?

Yes. Tiki Hansen 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.

Which organizations bill Medicare for Tiki Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiki Hansen reassigns Medicare benefits to 9 organizations: Gritman Medical Center Inc (Moscow, ID), Gritman Medical Center, Inc. (Moscow, ID), Rumford Hospital (Rumford, ME), Bridgton Hospital (Bridgton, ME), Central Maine Medical Center (Lewiston, ME) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiki Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiki Hansen accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Taro Health list Tiki Hansen 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 Tiki Hansen affiliated with any hospitals?

According to CMS data, Tiki Hansen is affiliated with Gritman Medical Center.

When was this NPI record last updated?

The NPPES record for Tiki Hansen was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.