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

Jon C Hansen, PA-C

Individual provider Surgical Physician Assistant · NPI 1629435748

Jon C Hansen, PA-C is a Physician Assistant in Draper, Utah. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

96 E Kimballs Ln Ste 207
Draper, UT 84020-5025
Phone: (801) 576-2300
Fax: (801) 576-2399
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 14260704-1206 (UT)

Record details

NPI number1629435748
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2016
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing addressPo Box 100253, Atlanta, GA 30384-0253

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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