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Active NPI 1174565170 Individual Practitioner Female Practitioner

Sandra R Hansen , PA-C

Physician Assistant • Summit, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Sandra Hansen, PA-C is a certified Physician Assistant practicing in Summit, WI. With approximately 22 years of clinical experience since completing medical education in 2004, Sandra Hansen delivers high-quality medical care to the local community at 36500 AURORA DR.

Sandra Hansen is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician, exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician, anticoagulant management of patient taking warfarin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summit, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +11.1 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Summit, WI (3517 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
85.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hansen (22 Years) 22 Yrs
Summit Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
207 205 $185.00 $10.94
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
207 205 $275.00 $16.63
93793 Anticoagulant management of patient taking warfarin
200 94 $85.00 $9.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
174 140 $515.00 $100.74
85610 Blood test, clotting time
132 59 $45.00 $4.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
31 24 $390.00 $61.96
99213 Established patient office or other outpatient visit, typically 15 minutes
21 21 $350.00 $68.98
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
17 12 $50.00 $6.96

Medical Specialties & State Licenses

CMS Verified: 2024-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1761

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41991200 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 11, 2024

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address March 11, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location April 24, 2022

Registered at 3200 PLEASANT VALLEY RD, WEST BEND, WI 530959274 (Tel: 2628367300)

👤
Provider Name / Credentials Updated April 24, 2022

Recorded as SANDRA HANSEN, PA-C

NPI Profile Active April 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2012

Registered at 2801 W KINNICKINNIC RIVER PKWY, SUITE 530, MILWAUKEE, WI 532153669 (Tel: 4146493390)

📍
Updated Business Mailing Address April 04, 2012

Registered at 2801 W KINNICKINNIC RIVER PKWY, SUITE 530, MILWAUKEE, WI 532153669 (Tel: 4146493390)

👤
Provider Name / Credentials Updated April 04, 2012

Recorded as SANDRA HANSEN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2012

Physician Assistant (License #1761 in WI)

🟢
Initial NPI Registration & Enumeration June 12, 2006

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: 1174565170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: March 11, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.