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Deactivated NPI 1477549624 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Lamont Hansen , MD

General Practice • Grand Island, NE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Hansen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 23, 2005
NPI Deactivation Date March 23, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Hansen, MD was a registered General Practice practicing in Grand Island, NE. Throughout an active medical career spanning 12 years, Dr. Hansen provided care at the practice location at 3016 W FAIDLEY AVE until profile deactivation on 2017-03-23.

Historical Medicare Part B clinical services included established patient outpatient office visit, outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3016 W Faidley Ave

Grand Island, NE 688034109

Telephone 3083818546
Fax 3083818550
Associated Practice Facility / Clinic
🏢 Hansen Medical Pc Facility NPI 1851306583

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Grand Island, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Grand Island, NE (56 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
142 111 $120.00 $68.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
76 67 $78.00 $40.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
40 24 $48.00 $18.82

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NE 17545

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1194711341

Doctor of Medicine (M.D.)

Kurt Koch , PA-C

Physician Assistant - Medical

NPI 1306142658

Physician Assistant (Certified)

Dr. Jana Van Wie , MD

Family Medicine

NPI 1720062458

Doctor of Medicine (M.D.)

Lindsey Makovicka , APRN

Nurse Practitioner - Family

NPI 1881173797

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 23, 2017

Record deactivated on March 23, 2017

NPI Profile Active December 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 02, 2009

Registered at 3016 W FAIDLEY AVE, GRAND ISLAND, NE 688034109 (Tel: 3083818546)

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Updated Business Mailing Address December 02, 2009

Registered at 3016 W FAIDLEY AVE, GRAND ISLAND, NE 688034109 (Tel: 3083818546)

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Provider Name / Credentials Updated December 02, 2009

Recorded as LARRY HANSEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2009

General Practice (License #17545 in NE)

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Initial NPI Registration & Enumeration September 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477549624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2005
Last Update: December 02, 2009
Deactivation Date: March 23, 2017

Mailing Address

3016 W Faidley Ave

Grand Island, NE 688034109

Phone: 3083818546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.