Jacob Hansen, DO
NPI 1942732342ActiveIndividual· Radiology, Diagnostic Radiology· Apo, NY
Radiology, Diagnostic Radiology (DO) in Apo, New York, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2017). Enrolled in Medicare as practitioner - diagnostic radiology and practitioner - diagnostic radiology.
Overview
| NPI | 1942732342 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 3, 2017 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 103836 | GA |
| Radiology, Diagnostic Radiology | 2085R0202X | DO4191 | ME |
| Radiology, Diagnostic Radiology | 2085R0202X | 05-52794 | KS |
| Radiology, Diagnostic Radiology | 2085R0202X | 0102209386 | VA |
| Radiology, Diagnostic Radiology | 2085R0202X | 38234 | NH |
| Radiology, Diagnostic Radiology | 2085R0202X | 1991 | NE |
| Radiology, Diagnostic Radiology | 2085R0202X | 01096955A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (GA); Practitioner - Diagnostic Radiology (IN); Practitioner - Diagnostic Radiology (KS); Practitioner - Diagnostic Radiology (MS); Practitioner - Diagnostic Radiology (TX) |
|---|
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Northside Radiology Associates LLCMoseley, VA · 385 clinicians
- Ella E M Brown Charitable CircleFort Wayne, IN · 170 clinicians
- Henry County Memorial HospitalNew Castle, IN · 158 clinicians
- Summit Radiology P CFort Wayne, IN · 102 clinicians
- Kayenta Alternative Rural HospitalTonalea, AZ · 68 clinicians
Hospital affiliations
- Clinch Memorial HospitalHomerville, GA
- Elbert Memorial HospitalElberton, GA
- Miller County HospitalColquitt, GA
- Oaklawn HospitalMarshall, MI
- Stephens County HospitalToccoa, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records