KENNETH C. JR. HANSON (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1295734135

KENNETH C. JR. HANSON (MD) is a healthcare provider. based in Frankenmuth, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01054195A (IN). The NPI Number for KENNETH C. JR. HANSON (MD) is 1295734135

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH C. JR. HANSON (MD)
NPI
1295734135
Phone
Not provided
Address
7905 E CURTIS RD
Enumeration Date
20 July 2005
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
9898391644
Graduation Year
1992 (34 years ago)
PAC ID
4284641259
Group Practice PAC ID
4981501939
Professional Enrollment ID
I20091016000150
Address ID
MI486700001MI4000XDRXX300

Contacts

Secure Messaging
khansonmd16924@direct.covenanthealthcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for KENNETH C. JR. HANSON (MD)

  • 7905, East Curtis Road, Frankenmuth Township, Saginaw County, Michigan, 48734, United States

    FRANKENMUTH, MI 487349583

    Phone:

    Fax: (262) 245-2248

    Type: Mailing

  • Covenant HealthCare 900 Cooper, 900, Cooper Avenue, Saginaw, Saginaw County, Michigan, 48602, United States

    SAGINAW, MI 486025182

    Phone: (989) 583-6521

    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: 2009-10-16

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
I20091016000150IEmergency MedicineMITBD

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 48734)

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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: 4981501939View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
-MI
Internal MedicineMI
Internal MedicineMI
-MI
Hospitalist, Internal MedicineMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Internal MedicineMI

Reviews

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Frequently asked questions

Where can patients find KENNETH C. JR. HANSON (MD)'s NPI?
You can confirm KENNETH C. JR. HANSON (MD) with NPI 1295734135; it appears in the national provider directory.
Is KENNETH C. JR. HANSON (MD) active in the national directory?
KENNETH C. JR. HANSON (MD)'s public NPI profile is in an active state.
What kind of provider is KENNETH C. JR. HANSON (MD)?
The page reflects Emergency Medical Services (Emergency Medicine) Physician for KENNETH C. JR. HANSON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place KENNETH C. JR. HANSON (MD)?
The snapshot lists Frankenmuth, Michigan for KENNETH C. JR. HANSON (MD); download NPPES for the complete set.
How can I contact KENNETH C. JR. HANSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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