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

Kevin Michael Hansen, MD

Individual provider Psychiatry Physician · NPI 1184245326

Kevin Michael Hansen, MD is a Psychiatry in Green Bay, Wisconsin. Qualified in 2020, 6 years ago. Practices with Waukesha County, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2851 University Ave
Green Bay, WI 54311-5855
Phone: (920) 265-9687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 76317-20 (WI)

Record details

NPI number1184245326
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2020
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address4318 Forest Ridge Dr, Suamico, WI 54313-8557

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Waukesha County — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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