MRS. KATHERINE JEAN HANSON (FNP-BC) – Primary Care Nurse Practitioner, NPI 1265939417

MRS. KATHERINE JEAN HANSON (FNP-BC) is a healthcare provider. based in Moultrie, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 186180 (GA). The NPI Number for MRS. KATHERINE JEAN HANSON (FNP-BC) is 1265939417

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHERINE JEAN HANSON (FNP-BC)
NPI
1265939417
Phone
(229) 217-0088
Address
207 31ST AVE SE
Enumeration Date
12 April 2018
Last Update Date
12 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2295012055
Graduation Year
2016 (10 years ago)
PAC ID
6800143744
Group Practice PAC ID
7911811922
Professional Enrollment ID
I20180723003294
Address ID
GA317055958AL512XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MRS. KATHERINE JEAN HANSON (FNP-BC)

  • 31st Avenue South East, Moultrie, Colquitt County, Georgia, 31768, United States

    MOULTRIE, GA 317686703

    Phone: (229) 217-0088

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $362.

Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Dexcom, Inc. ($48).

Total Amount

$362

General + Research + Ownership

Payments

21

Total payment records

General Amount

$362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2018-07-23

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
I20180723003294INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31768)

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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: 7911811922View full group profile
NameSpecialtyState
O P T O M E T R YTX
-GA
-GA
-GA
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerGA
Certified Nurse Midwife (Cnm)GA
P O D I A T R YCT
Internal MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to MRS. KATHERINE JEAN HANSON (FNP-BC)?
The federal identifier for MRS. KATHERINE JEAN HANSON (FNP-BC) is NPI 1265939417.
Is MRS. KATHERINE JEAN HANSON (FNP-BC)'s NPI currently valid?
The extract we use shows MRS. KATHERINE JEAN HANSON (FNP-BC) as active.
What does MRS. KATHERINE JEAN HANSON (FNP-BC) treat or focus on?
Patients typically see MRS. KATHERINE JEAN HANSON (FNP-BC) under the specialty Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. KATHERINE JEAN HANSON (FNP-BC) practice in Georgia?
You will see Moultrie, Georgia on file for MRS. KATHERINE JEAN HANSON (FNP-BC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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