BRYANT HANSEN (PA-C) – Physician Assistant, NPI 1669897989

BRYANT HANSEN (PA-C) is a healthcare provider. based in Rexburg, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-1148 (ID). The NPI Number for BRYANT HANSEN (PA-C) is 1669897989

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
BRYANT HANSEN (PA-C)
NPI
1669897989
Phone
(208) 356-4900
Address
72 S 1ST E
Enumeration Date
24 February 2014
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083564900
Graduation Year
2013 (13 years ago)
PAC ID
6507089547
Group Practice PAC ID
4385725282
Professional Enrollment ID
I20140521000319
Address ID
ID834451546SA335XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for BRYANT HANSEN (PA-C)

  • 72 S 1ST E

    REXBURG, ID 834401902

    Phone: (208) 356-4900

    Fax: (208) 356-3724

    Type: Location

  • 335 E Main St Ste 1

    Saint Anthony, ID 834451546

    Phone: (208) 356-4900

    Fax: (208) 624-4116

    Type: Location

  • 450 E Main St

    Rexburg, ID 834402048

    Phone: (208) 356-3691

    Type: Location

  • PO BOX 18

    SAINT ANTHONY, ID 834450018

    Phone: (208) 356-4900

    Fax: (208) 624-4112

    Type: Mailing

  • 72 S 1ST E STE 101

    REXBURG, ID 834401965

    Phone: (208) 356-4900

    Fax: (208) 356-3724

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: ABBVIE INC. ($48).

Total Amount

$91

General + Research + Ownership

Payments

5

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

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: 2014-05-21

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
I20140521000319IPhysician AssistantIDTBD

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
83036Hemoglobin a1c level3015$0
80053Blood test, comprehensive group of blood chemicals2922$0
80061Blood test, lipids (cholesterol and triglycerides)2120$0
81003Automated urinalysis test1816$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1616$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

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Provider's Procedures

BRYANT HANSEN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTID81002Urinalysis, manual test2920

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: 4385725282View full group profile
NameSpecialtyState
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Physician AssistantID
General PracticeID
Clinical Social WorkerID
Physician AssistantID
Clinical Social WorkerID
Nurse PractitionerID

Reviews

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Frequently asked questions

Does BRYANT HANSEN (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRYANT HANSEN (PA-C) uses 1669897989.
Does CMS list BRYANT HANSEN (PA-C) as active?
Yes — BRYANT HANSEN (PA-C) is active in the NPI listing used on this page.
What is BRYANT HANSEN (PA-C) best known for clinically?
Directory data describes BRYANT HANSEN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does BRYANT HANSEN (PA-C) list a practice location?
Patients near Rexburg, Idaho may find BRYANT HANSEN (PA-C) in results; validate coverage separately.
Is the information about BRYANT HANSEN (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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