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

Hattie Jo Hanson, PA

Individual provider Medical Physician Assistant · NPI 1114508447

Hattie Jo Hanson, PA is a Physician Assistant in Aurora, Colorado. Qualified in 2022, 4 years ago. Practices with Fairview Health Services, a 678-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-4289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0007400 (CO)

Record details

NPI number1114508447
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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