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

Timothy Joseph Hansen

Individual provider Physician Assistant · NPI 1295367035

Timothy Joseph Hansen is a Physician Assistant in Novi, Michigan. Qualified in 2020, 6 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone: (248) 465-5140
Fax: (248) 465-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 — (989) 774-2478

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010159 (MI)

Record details

NPI number1295367035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2020
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022
Mailing address26850 Providence Pkwy Ste 260, Novi, MI 48374-1256

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Novi