LISA MARIE HANSON (NP) – Adult Medicine Physician, NPI 1003530429

LISA MARIE HANSON (NP) is a healthcare provider. based in South jordan, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 5984518-4405 (UT). The NPI Number for LISA MARIE HANSON (NP) is 1003530429

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE HANSON (NP)
NPI
1003530429
Phone
(801) 661-6052
Address
4538 W SOUTH JORDAN PKWY UNIT 110
Enumeration Date
29 September 2022
Last Update Date
29 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015777055
Graduation Year
2022 (4 years ago)
PAC ID
4587035167
Group Practice PAC ID
5698179125
Professional Enrollment ID
I20230118000976
Address ID
UT841078524MU348XX4500301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for LISA MARIE HANSON (NP)

  • 4538 W SOUTH JORDAN PKWY UNIT 110

    SOUTH JORDAN, UT 840095852

    Phone: (801) 661-6052

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Amgen Inc. ($139).

Total Amount

$179

General + Research + Ownership

Payments

4

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-01-18

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
I20230118000976INurse PractitionerUTTBD

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
J0897Injection, denosumab, 1 mg1,92032$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes8146$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7243$0
96372Injection of drug or substance under skin or into muscle6250$0
J3489Injection, zoledronic acid, 1 mg6012$0
View full utilization report →

Insurance plans in this area (ZIP 84009)

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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: 5698179125View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerTN
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

How is LISA MARIE HANSON (NP) identified in CMS data?
CMS-hosted NPPES data lists LISA MARIE HANSON (NP) with NPI 1003530429.
Is LISA MARIE HANSON (NP) still practicing?
LISA MARIE HANSON (NP) is currently listed as active in the public NPI registry.
What is LISA MARIE HANSON (NP)'s specialty?
The listing groups LISA MARIE HANSON (NP) with Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is LISA MARIE HANSON (NP) based?
LISA MARIE HANSON (NP) is tied to South Jordan, Utah in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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