DR. CASEY ANN HANSON (PH.D., LPC) – Clinical Psychologist, NPI 1336331248

DR. CASEY ANN HANSON (PH.D., LPC) is a healthcare provider. based in Appleton, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D., LPC. They hold a License No. 3646-125 (WI). The NPI Number for DR. CASEY ANN HANSON (PH.D., LPC) is 1336331248

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY ANN HANSON (PH.D., LPC)
NPI
1336331248
Phone
(920) 733-2065
Address
W6144 AEROTECH DR
Enumeration Date
14 August 2007
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9203640747
Graduation Year
2007 (19 years ago)
PAC ID
9032268123
Group Practice PAC ID
0749630853
Professional Enrollment ID
I20090520000279
Address ID
WI549148549APW6240CTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:18State licenses:3Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for DR. CASEY ANN HANSON (PH.D., LPC)

  • W6144 AEROTECH DR

    APPLETON, WI 549147503

    Phone: (920) 733-2065

    Fax: (920) 733-6565

    Type: Mailing

  • W6240 COMMUNICATION CT STE 2

    APPLETON, WI 549148549

    Phone: (920) 364-0747

    Fax: (920) 364-0747

    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: 2009-05-20

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
I20090520000279IClinical PsychologistWITBD

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 54914)

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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: 0749630853View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

How is DR. CASEY ANN HANSON (PH.D., LPC) identified in CMS data?
CMS-hosted NPPES data lists DR. CASEY ANN HANSON (PH.D., LPC) with NPI 1336331248.
Is DR. CASEY ANN HANSON (PH.D., LPC) listed as active for patients and plans?
The listing shows DR. CASEY ANN HANSON (PH.D., LPC) as active in the NPI system.
What taxonomy line describes DR. CASEY ANN HANSON (PH.D., LPC)?
For research purposes, treat DR. CASEY ANN HANSON (PH.D., LPC) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CASEY ANN HANSON (PH.D., LPC)?
DR. CASEY ANN HANSON (PH.D., LPC)'s geographic hint is Appleton, Wisconsin in our summary view.
Is the information about DR. CASEY ANN HANSON (PH.D., LPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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