Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Beverly Hanson, PA

Surgical Physician Assistant in Blackfoot, ID · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003874389

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Registry record

Entity type Individual (Type 1)

Name Beverly Hanson

Credential PA

Sex Female

Practice address 98 Poplar St, Blackfoot, ID, 83221

Phone (208) 782-3993

Fax (208) 782-3994

Enumeration date May 3, 2006

Last updated in NPPES Sep 9, 2008

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PAG-012 (ID) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
000010167603	Other	ID	RBS LAMERE
HPAC6	Other	ID	BLUE CROSS OLD
PAJ80	Other	ID	BCS LAMERE
000010154328	Other	ID	REGENCE BLUE SHIELD
HB405	Other	ID	BLUE CROSS
807338600	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Beverly Hanson?

Beverly Hanson is registered in NPPES with the primary taxonomy of Surgical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-09.