STEPHANIE HANSEN – Internal Medicine Physician, NPI 1649229931
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
Provider Addresses for STEPHANIE HANSEN
2657 WIND MILL PARKWAY
SUITE 334
HENDERSON, NV 890743384
Phone: (702) 450-1717
Fax: (702) 947-6740
Type: Mailing
510 W 1ST AVE
TOPPENISH, WA 989481564
Phone: (509) 865-5600
Fax: (509) 865-5783
Type: Mailing
6970, West Patrick Lane, Clark County, Nevada, 89113, United States
SUITE 140
LAS VEGAS, NV 891130270
Phone: (702) 450-1717
Fax: (702) 947-6740
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-10-21 • Largest payer in this snapshot: Exact Sciences Corporation ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $21 |
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: 2021-04-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210401001340 | I | Internal Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Internal Medicine | WA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| Mental Health Counselor | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| Mental Health Counselor | WA | |
| Internal Medicine | WA |
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