Trudy Lynn Hanson, AGPCNP-C - Medicare Nurse Practitioner in St Paul, MN

Trudy Lynn Hanson, AGPCNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" physician in St Paul, Minnesota. Her current practice location is 225 Smith Ave N, Suite 300, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 241-5000.

Trudy Lynn Hanson is licensed to practice in Minnesota (license number 7705) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477146595.

Contact Information

Trudy Lynn Hanson, AGPCNP-C
225 Smith Ave N, Suite 300,
St Paul, MN 55102-2592
(651) 241-5000
Not Available



Physician's Profile

Full NameTrudy Lynn Hanson
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location225 Smith Ave N, St Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477146595
  • Provider Enumeration Date: 02/19/2021
  • Last Update Date: 03/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335543925
  • Enrollment ID: I20210804000695

Medical Identifiers

Medical identifiers for Trudy Lynn Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477146595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine R42477 (North Dakota)Secondary
363LG0600XNurse Practitioner - Gerontology R42477 (North Dakota)Secondary
363LX0106XNurse Practitioner - Occupational Health 7705 (Minnesota)Secondary
363LG0600XNurse Practitioner - Gerontology 7705 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Trudy Lynn Hanson allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Trudy Lynn Hanson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Trudy Lynn Hanson, AGPCNP-C
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000
Trudy Lynn Hanson, AGPCNP-C
225 Smith Ave N, Suite 300,
St Paul, MN 55102-2592

Ph: (651) 241-5000

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