KAREN M HANSEN (NPI# 1174650816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174650816 |
| Entity Type | Individual |
| Full Name | KAREN M HANSEN |
| Other Name | KAREN M PETERSON |
| Credential | PA-C |
| Practice Address |
1230 E Main Street Mankato Clinic At Main Street Mankato MN 56002-8674 |
| Mailing Address |
Po Box 8674 1230 E Main St Mankato Clinic Ltd Mankato MN 56002-8674 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9015 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
9015 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 37M55PE | 01 |
| MN | 798407000 | 05 | |
| MN | HEALTHPARTNERS | HP79084 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813166 | Karen Lynn Hansen | Counselor | 67 Captain Cushman Road, Morrill, ME 04952 | 2018-12-19 |
| 1801133277 | Karen Lynn Hansen | Counselor | 198 Peters Ave, Unit A, Pleasanton, CA 94566-6693 | 2013-01-05 |
| 1669799409 | Karen Lee Hansen | Doula | 3936 64th St, Apt 6, Woodside, NY 11377-3625 | 2010-05-03 |
| 1801099742 | Karen Hansen | Physical Therapist | 675 S Jefferson Ave Ste C, Cookeville, TN 38501-0949 | 2007-06-07 |
| 1821120320 | Karen Hansen | Counselor | 12523 234th St Se, Snohomish, WA 98296-4905 | 2007-03-10 |
| 1003816661 | Karen E Hansen | Social Worker | 19625 Islander St, Olney, MD 20832-1020 | 2005-07-26 |
| 1710475983 | Karen A Hansen | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-04-24 |
| 1982088647 | Karen Hansen | Counselor | 1466 Lincoln Ave, San Rafael, CA 94901-2021 | 2015-07-13 |
| 1295143451 | Karen Rene Hansen | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-31 |
| 1780022079 | Karen Lynn Hansen | Counselor | 1240 W Ranchito Ln, Mequon, WI 53092-6089 | 2013-06-07 |
| Street Address |
1230 E MAIN STREET MANKATO CLINIC AT MAIN STREET |
| City | MANKATO |
| State | MN |
| Zip Code | 56002-8674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346926 | Scott J Barnacle | Obstetrics & Gynecology | 1230 E Main Street, Mankato, MN 56002-8674 | 2005-09-12 |
| 1124210398 | Tara Jean Denke | Obstetrics & Gynecology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2007-08-13 |
| 1093752412 | James A Boles | Internal Medicine | 1230 E Main Street, Mankato Clinic Main Street, Mankato, MN 56001 | 2006-06-02 |
| 1497734446 | James R Custer | Radiology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1366421356 | Peter S Nolan | Pediatrics | 1230 E Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1881673879 | Rolf E Storvick | Internal Medicine | 1230 E Main Street, Mankato Clinic, Mankato, MN 56002-8674 | 2006-01-10 |
| 1003895095 | Alyssa L Stitt | Family Medicine | 1230 E Main Street, Mankato Clinic, Mankato, MN 56002-8674 | 2006-01-10 |
| 1821077819 | Donald C Putzier | Pediatrics | 1230 E Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1184603193 | Lisa R Davidson | Psychiatry & Neurology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1841279833 | Eric J Storvick | Internal Medicine | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518004803 | Karl Philip Roos | Internal Medicine | 1230 East Main Street, Mankato, MN 56002 | 2007-01-30 |
| 1194766055 | Winny W Hung | Emergency Medicine | 1025 Marsh St, Dept. of Emergency Medicine, Mankato, MN 56002 | 2006-06-09 |
| 1316974967 | Dale L Carlson | Optometrist | 220 East Main, Mankato, MN 56002-3387 | 2006-06-27 |
| 1992789986 | Brenda Oian Iv | Marriage & Family Therapist | Blue Earth County Government Center, 410 South 5th Street, Mankato, MN 56002-3526 | 2005-12-02 |
| 1811040769 | County of Blue Earth | Public Health or Welfare | 410 S 5th St, Mankato, MN 56002-3526 | 2007-01-22 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1962660324 | Hope Rene Bollig | Physician Assistant | 1015 Marsh St, Mankato, MN 56002-8673 | 2008-06-01 |
| 1649324690 | Matthew James Schaefer | Radiology | 1025 Marsh St, Mankato, MN 56002-8673 | 2007-01-23 |
| 1427131895 | Matthew Gerald Pollema | Radiology | 1025 Marsh St, Mankato, MN 56002-8673 | 2006-10-21 |
| 1144217209 | Erin E Bissonnette | Nurse Practitioner | 1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2005-10-04 |
| Find all providers in zip 56002 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972743391 | Jacqueline M Samuelson | Physician Assistant | 1961 Premier Dr Ste 330, Mankato, MN 56001-6494 | 2009-02-25 |
| 1609815364 | Leon Hughes | Physician Assistant | 102 S Center St, Mankato, KS 66956-2202 | 2006-06-06 |
| 1871125070 | David Jeremiah Roemhildt | Physician Assistant | 1431 Premier Dr, Mankato, MN 56001-6076 | 2020-02-06 |
| 1780214890 | Sarah Lynnette Martens | Physician Assistant | 1421 Premier Dr, Mankato, MN 56001-6076 | 2020-01-17 |
| 1558907519 | Amber Imani Hogan | Physician Assistant | 1431 Premier Dr, Mankato, MN 56001-6076 | 2019-11-25 |
| 1598314916 | Marissa Ann Spencer | Physician Assistant | 1025 Marsh St, Mankato, MN 56001 | 2019-09-09 |
| 1194373514 | Christina Renee Lindemann | Physician Assistant | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-08-28 |
| 1871145656 | Elizabeth Hovden | Physician Assistant | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-07-12 |
| 1699233965 | Zachary Joel Stevens | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2019-03-06 |
| 1134616584 | Shannon Arader | Physician Assistant | 1025 Marsh St, Mankato, MN 56001 | 2018-04-20 |
| Find all providers in MANKATO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.