NPI age
9 years
Enumerated 2016-10-07
● Active
Type 1 · Individual
Tiki Hansen, PMH-NP
Hansen is 1 of 3 nurse practitioner providers in Moscow and 1 of 374 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
9 years
↑ 5 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-10Enumerated in NPPES
2016
2026
Where they practice
Practice location
623 S Main St Ste 1
Moscow, ID 838433042
Mailing address
Po Box 8007
Moscow, ID 838430507
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.