NPI age
20 years
Enumerated 2006-05-03
● Active
Type 1 · Individual
Beverly Hanson, PA
Hanson is 1 of 2 physician assistant providers in Blackfoot and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-09-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
56% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
98 Poplar St
Blackfoot, ID 832211758
Mailing address
98 Poplar St
Blackfoot, ID 832211758
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010167603 | RBS LAMERE |
| 01 (ID) | HPAC6 | BLUE CROSS OLD |
| 01 (ID) | PAJ80 | BCS LAMERE |
| 01 (ID) | 000010154328 | REGENCE BLUE SHIELD |
| 01 (ID) | HB405 | BLUE CROSS |
| 05 (ID) | 807338600 |
Practice context
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
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