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

Tracy Lynn Hanson, NP

Individual provider Nurse Practitioner · NPI 1124607940

Tracy Lynn Hanson, NP is a Nurse Practitioner in Draper, Utah. Qualified in 2021, 5 years ago. Practices with Mountainstar Medical Group-St Marks Hospital LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

74 E Kimballs Ln Ste 300
Draper, UT 84020-5009
Phone: (801) 572-0311
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 218060-4405 (UT)

Record details

NPI number1124607940
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing addressPo Box 198560, Atlanta, GA 30384-8560

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mountainstar Medical Group-St. Marks Hospital Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Draper