TRACY LYNN HANSON (NP) – Nurse Practitioner, NPI 1124607940

TRACY LYNN HANSON (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 218060-4405 (UT). The NPI Number for TRACY LYNN HANSON (NP) is 1124607940

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TRACY LYNN HANSON (NP)
NPI
1124607940
Phone
Not provided
Address
PO BOX 198560
Enumeration Date
7 April 2021
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015691999
Graduation Year
2021 (5 years ago)
PAC ID
3577955889
Group Practice PAC ID
1557443322
Professional Enrollment ID
I20220119000463
Address ID
UT840889334WE8846XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for TRACY LYNN HANSON (NP)

  • PO BOX 198560

    ATLANTA, GA 303848560

    Phone:

    Type: Mailing

  • 74 E KIMBALLS LN STE 260

    DRAPER, UT 840205009

    Phone: (801) 545-8480

    Type: Location

  • 74 E KIMBALLS LN STE 300

    DRAPER, UT 840205009

    Phone: (801) 572-0311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $663.

Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Lilly USA, LLC ($108).

Total Amount

$663

General + Research + Ownership

Payments

34

Total payment records

General Amount

$663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220119000463INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12289$0
99214Established patient office or other outpatient visit, 30-39 minutes5239$0
81003Automated urinalysis test3024$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
69210Removal of impacted ear wax1612$0
View full utilization report →

Insurance plans in this area (ZIP 30384)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557443322View full group profile
NameSpecialtyState
Physician AssistantGA
Internal MedicineGA
Osteopathic Manipulative Medicine, Family PracticeUT
Physician AssistantFL
Family PracticeUT
-UT
-GA
Nurse PractitionerGA
Nurse PractitionerCA
Family PracticeUT

Reviews

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Frequently asked questions

Does TRACY LYNN HANSON (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TRACY LYNN HANSON (NP) uses 1124607940.
Can I rely on TRACY LYNN HANSON (NP) being an active provider?
As of the registry snapshot, TRACY LYNN HANSON (NP) is marked active.
What is TRACY LYNN HANSON (NP) best known for clinically?
Directory data describes TRACY LYNN HANSON (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect TRACY LYNN HANSON (NP) on a map?
Expect Atlanta, Georgia as a primary anchor for TRACY LYNN HANSON (NP) unless the record lists multiple sites.
Why does TRACY LYNN HANSON (NP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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