P Praxis·MD
● Active Type 1 · Individual

Tate J Hansen, PA-C

Physician Assistant·Meridian, ID· NPI 1982944617 · Enumerated 2013 · 13 years on NPI
Hansen is 1 of 33 physician assistant providers in Meridian and 1 of 387 in Idaho.
NPI age
13 years
Enumerated 2013-02-16
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-02-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
520 S Eagle Rd, Ste 1222
Meridian, ID 836426351
📞 2087062200fax 2087062251
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA1047 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 223 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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