Dwayne M. Hansen MD PLLC
NPI 1114024650 · Surgery Physician · Rexburg, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dwayne M. Hansen MD PLLC is a Surgery Physician organization in Rexburg, ID (NPI 1114024650).
Provider details
- NPI number
- 1114024650
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwayne Hansen, Owner(208) 656-8442
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-19
- Last updated
- 2007-12-06
Frequently asked questions
- What is Dwayne M. Hansen MD PLLC's NPI number?
- Dwayne M. Hansen MD PLLC's National Provider Identifier (NPI) is 1114024650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dwayne M. Hansen MD PLLC?
- Dwayne M. Hansen MD PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dwayne M. Hansen MD PLLC located?
- Dwayne M. Hansen MD PLLC's practice location on file with NPPES is 381 East 4th North Street, Rexburg, ID 83440.
- What is Dwayne M. Hansen MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dwayne M. Hansen MD PLLC is (208) 656-8442.
- Does Dwayne M. Hansen MD PLLC accept Medicare?
- Dwayne M. Hansen MD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dwayne M. Hansen MD PLLC?
- The authorized official listed on Dwayne M. Hansen MD PLLC's NPPES record is Dwayne Hansen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dwayne M. Hansen MD PLLC's NPI active?
- Yes — Dwayne M. Hansen MD PLLC's NPI (1114024650) is active in the NPPES registry as of the last update on 2007-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.