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

McKenzie Hansen

Individual provider Family Medicine Physician · NPI 1639952930

McKenzie Hansen is a Nurse Practitioner in LA Grande, Oregon. Qualified in 2023, 3 years ago. Practices with Praxis Health PC, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
3
Licensed in
ID, OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2011 4th St
LA Grande, OR 97850-2511
Phone: (541) 962-7808
Fax: (541) 429-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Elm St, La Grande, OR 97850-2620 — (541) 972-4387

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10014371 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 64324 (ID)

Record details

NPI number1639952930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2023
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing addressPo Box 1517, Pendleton, OR 97801-0410

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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