JAIME HANSEN (FNP-C, FNP-BC) – Family Nurse Practitioner, NPI 1215506316

JAIME HANSEN (FNP-C, FNP-BC) is a healthcare provider. based in Roseburg, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C, FNP-BC. They hold a License No. 7197553-4405 (UT). The NPI Number for JAIME HANSEN (FNP-C, FNP-BC) is 1215506316

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JAIME HANSEN (FNP-C, FNP-BC)
NPI
1215506316
Phone
(801) 707-3755
Address
PO BOX 1121
Enumeration Date
22 June 2021
Last Update Date
27 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414924550
Graduation Year
2021 (5 years ago)
PAC ID
0941607105
Group Practice PAC ID
4587662887
Professional Enrollment ID
I20210930001965
Address ID
OR974703090RO621XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for JAIME HANSEN (FNP-C, FNP-BC)

  • PO BOX 1121

    ROSEBURG, OR 974700254

    Phone: (801) 707-3755

    Type: Mailing

  • 671 SW MAIN ST

    WINSTON, OR 974966571

    Phone: (541) 672-2691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $858.

Total Amount is formed as General ($858) + Research ($0) + Ownership ($0) = $858.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($204).

Total Amount

$858

General + Research + Ownership

Payments

25

Total payment records

General Amount

$858

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-30

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
I20210930001965INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80305Testing for presence of drug, read by direct observation5911$0
View full utilization report →

Insurance plans in this area (ZIP 97470)

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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: 4587662887View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Mental Health CounselorOR
Physician AssistantOR
Nurse PractitionerOR
Nurse PractitionerNE
P S Y C H I A T R YID
-WA
Nurse PractitionerCA
-OR
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is JAIME HANSEN (FNP-C, FNP-BC)'s NPI number?
JAIME HANSEN (FNP-C, FNP-BC)'s NPI is 1215506316 — the number used across U.S. healthcare to identify this provider.
Would JAIME HANSEN (FNP-C, FNP-BC) appear as active to a payer?
You can treat JAIME HANSEN (FNP-C, FNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JAIME HANSEN (FNP-C, FNP-BC)'s focus?
For JAIME HANSEN (FNP-C, FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JAIME HANSEN (FNP-C, FNP-BC) located near Roseburg?
JAIME HANSEN (FNP-C, FNP-BC) currently maps to Roseburg, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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