BETH A HANSON (MSN, PMHNP-BC, FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619120870

BETH A HANSON (MSN, PMHNP-BC, FNP) is a healthcare provider. based in Richfield, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC, FNP. They hold a License No. 3314 (MN). The NPI Number for BETH A HANSON (MSN, PMHNP-BC, FNP) is 1619120870

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
BETH A HANSON (MSN, PMHNP-BC, FNP)
NPI
1619120870
Phone
(612) 488-0040
Address
7430 Wentworth Ave
Enumeration Date
30 October 2008
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6129256033
Graduation Year
2008 (18 years ago)
PAC ID
2365507803
Group Practice PAC ID
0749171320
Professional Enrollment ID
I20090217000080
Address ID
MN554164119ST4027XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for BETH A HANSON (MSN, PMHNP-BC, FNP)

  • 7430 Wentworth Ave

    Richfield, MN 554234133

    Phone: (612) 488-0040

    Fax: (833) 973-4055

    Type: Location

  • 545 LAKERIDGE DRIVE

    SHOREVIEW, MN 55126

    Phone: (763) 567-9854

    Type: Mailing

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States

    COON RAPIDS, MN 554334708

    Phone: (651) 774-0011

    Fax: (651) 454-5050

    Type: Location

  • 4240 PARK GLEN RD

    ST LOUIS PARK, MN 554165427

    Phone: (612) 925-6033

    Fax: (612) 925-8496

    Type: Mailing

  • 4027 COUNTY ROAD 25

    MINNEAPOLIS, MN 554162629

    Phone: (612) 925-6033

    Fax: (612) 925-8496

    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: 2009-02-17

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
I20090217000080INurse PractitionerMNTBD

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 55423)

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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: 0749171320View full group profile

Reviews

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Frequently asked questions

What is the standard ID for BETH A HANSON (MSN, PMHNP-BC, FNP) in the U.S.?
In the U.S., BETH A HANSON (MSN, PMHNP-BC, FNP) is identified by NPI 1619120870.
Does the public listing show BETH A HANSON (MSN, PMHNP-BC, FNP) as active?
BETH A HANSON (MSN, PMHNP-BC, FNP)'s NPI record reflects an active status in NPPES.
What does the directory say BETH A HANSON (MSN, PMHNP-BC, FNP) does?
Insurance directories may phrase it differently, but here BETH A HANSON (MSN, PMHNP-BC, FNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BETH A HANSON (MSN, PMHNP-BC, FNP)?
BETH A HANSON (MSN, PMHNP-BC, FNP) is associated with Richfield, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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