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

Kimberly Hansen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639986581

Kimberly Hansen is a Nurse Practitioner in Moab, Utah. Qualified in 2025, 1 year ago. Practices with Carbon Medical Service Association, Incorporated, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

180 S 300 E
Moab, UT 84532-2620
Phone: (435) 260-9864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 Covecrest St, Price, UT 84501-1831 — (435) 650-7760

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10882600-3102 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 10882600-3102 (UT)

Record details

NPI number1639986581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing addressPo Box 30180, Salt Lake City, UT 84130-0180

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Carbon Medical Service Association, Incorporated — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Moab