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

Ivy A. Hansen, PA-C

Individual provider Medical Physician Assistant · NPI 1164755104

Ivy A. Hansen, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2009, 17 years ago. Practices with Obstetrics and Gynecology Associates of Idaho Falls, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2065 E 17th St Ste D
Idaho Falls, ID 83404-8042
Phone: (208) 522-0747
Fax: (208) 522-9641
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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-814 (ID)

Record details

NPI number1164755104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2009
Last updated in NPPESSeptember 9, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Obstetrics And Gynecology Associates Of Idaho Falls — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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