MARY MICHELE HANSEN (PA-C, MPAS) – Physician Assistant, NPI 1790846350
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for MARY MICHELE HANSEN (PA-C, MPAS)
701 W Forevergreen Rd
North Liberty, IA 523179848
Phone: (319) 356-2223
Fax: (319) 353-6754
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-2223
Fax: (319) 353-6754
Type: Mailing
Sioux Falls Post Office, 320, South 2nd Avenue, Downtown, Sioux Falls, Sioux Falls Township, Minnehaha County, South Dakota, 57104, United States
SIOUX FALLS, SD 571175074
Phone:
Type: Mailing
1210, West 18th Street, Sioux Falls, Minnehaha County, South Dakota, 57104, United States
STE 100
SIOUX FALLS, SD 571049890
Phone: (605) 312-8500
Fax: (605) 312-8501
Type: Location
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: 2015-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070219000828 | I | Physician Assistant | IA | TBD |
| I20150331002525 | I | Physician Assistant | SD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | 17 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 52317)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | SD | |
| P S Y C H I A T R Y | SD | |
| General Surgery | SD | |
| General Surgery | SD | |
| P S Y C H I A T R Y | NE | |
| P S Y C H I A T R Y | SD | |
| - | SD | |
| Qualified Audiologist | SD | |
| Hand Surgery, Orthopedic Surgery | SD | |
| Nurse Practitioner | SD |
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