KATHLEEN KELLEY HANSEN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1679684922

KATHLEEN KELLEY HANSEN (MD) is a healthcare provider. based in Des moines, Iowa. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials MD. They hold a License No. 29957 (IA). The NPI Number for KATHLEEN KELLEY HANSEN (MD) is 1679684922

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN KELLEY HANSEN (MD)
NPI
1679684922
Phone
(515) 241-8866
Address
1212 PLEASANT # LL3
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
5152823730
Graduation Year
1989 (37 years ago)
PAC ID
2264535269
Group Practice PAC ID
3678466166
Professional Enrollment ID
I20070313000079
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KATHLEEN KELLEY HANSEN (MD)

  • Pleasant Grove, Des Moines County, Iowa, 52660, United States

    DES MOINES, IA 503091414

    Phone: (515) 241-8866

    Fax: (515) 241-8855

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-03-13

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
I20070313000079IPathologyIATBD

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

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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
88305Pathology examination of tissue using a microscope, intermediate complexity1,183680$0
88341Special stained specimen slides to examine tissue, each additional procedure427114$0
88307Pathology examination of tissue using a microscope, moderately high complexity341230$0
88342Special stained specimen slides to examine tissue, initial procedure204168$0
88112Cell examination of specimen, selective cellular enhancement technique159147$0
View full utilization report →

Insurance plans in this area (ZIP 50309)

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Provider's Procedures

KATHLEEN KELLEY HANSEN (MD) performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIA88312Special stained specimen slides to identify organisms including interpretation and report7247
PATHOLOGYIA88342Tissue or cell analysis by immunologic technique122118

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: 3678466166View full group profile
NameSpecialtyState
Internal MedicineIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Emergency MedicineIA
Family PracticeIA
-IA
N E P H R O L O G YIA
-IA
O P T O M E T R YIA
-IA
O P T O M E T R YIA

Reviews

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Frequently asked questions

What unique ID ties claims to KATHLEEN KELLEY HANSEN (MD)?
NPI 1679684922 is assigned to KATHLEEN KELLEY HANSEN (MD) under the national enumeration system.
Is KATHLEEN KELLEY HANSEN (MD) active in the national directory?
KATHLEEN KELLEY HANSEN (MD)'s public NPI profile is in an active state.
What field does KATHLEEN KELLEY HANSEN (MD) work in?
You can think of KATHLEEN KELLEY HANSEN (MD) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does KATHLEEN KELLEY HANSEN (MD) practice in Iowa?
You will see Des Moines, Iowa on file for KATHLEEN KELLEY HANSEN (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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