Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew R Hanson

Individual provider Critical Care Medicine Registered Nurse · NPI 1578303111

Andrew R Hanson is a Certified Registered Nurse Anesthetist (CRNA) in Fort Campbell, Kentucky. Qualified in 2024, 2 years ago. Practices with Deaconess Hospital, Inc, a 414-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
2
Licensed in
SD
In the registry since
2024
Specialties on file
2

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CR001189 (SD)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence R042354 (SD)

Record details

NPI number1578303111
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 30, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Deaconess Hospital, Inc. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount