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Nicole Ann Hanson

NPI 1972463412ActiveIndividual· Physician Assistant· Show Low, AZ

Physician Assistant in Show Low, Arizona, with an NPI issued in November 2025.

Overview

NPI1972463412
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 17, 2025
Last updated in NPPESNov 17, 2025
Certified by providerNov 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Show Low

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