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

Mr. Mark Hansen

Individual provider Nurse Practitioner · NPI 1255172862

Mr. Mark Hansen is a Nurse Practitioner in Kernersville, North Carolina. Qualified in 2025, 1 year ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

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

291 Broad St
Kernersville, NC 27284-2932
Phone: (336) 993-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1007 Walker Ave, Greensboro, NC 27403 — (704) 210-5060

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5023244 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 295448 (NC)

Record details

NPI number1255172862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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 Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kernersville