MARK M HANSEN (MD) – Family Medicine Physician, NPI 1114013208
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for MARK M HANSEN (MD)
531, Adams Street, Rolla, Morton County, Kansas, 67954, United States
MORTON, WA 98356
Phone: (360) 496-5145
Fax: (360) 496-5093
Type: Location
521 ADAMS AVE STE B
MORTON, WA 983569323
Phone: (360) 496-5145
Fax: (360) 496-5093
Type: Location
PO BOX 1138
MORTON, WA 983560019
Phone: (360) 496-5145
Fax: (360) 496-5093
Type: Mailing
Morton Post Office, 600, West Jefferson Street, Morton, Tazewell County, Illinois, 61550, United States
MORTON, WA 983560018
Phone: (360) 496-5145
Fax: (360) 496-5093
Type: Mailing
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: 2004-12-21
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 |
|---|---|---|---|---|
| I20041221000997 | I | Family Practice | 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 98356)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 83036 | Hemoglobin A1C level | 41 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Internal Medicine | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA | |
| P O D I A T R Y | OK |
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