IndividualActive
Tracie Hansen, B.S.
NPI 1639779523 · Peer Specialist · Pocatello, ID
Tracie Hansen, B.S. is a Peer Specialist provider in Pocatello, ID (NPI 1639779523).
Provider details
- NPI number
- 1639779523
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- B.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- CPSS055 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
560 Fairway Dr
Pocatello, ID 83201-2012
Phone: (208) 242-6669
Street-level locationGet directions
Mailing address
611 Wilson Ave Ste 5
Pocatello, ID 83201-5046
Registry dates
- Enumerated
- 2020-10-29
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is Tracie Hansen's NPI number?
- Tracie Hansen's National Provider Identifier (NPI) is 1639779523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracie Hansen's specialty?
- Tracie Hansen is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Tracie Hansen located?
- Tracie Hansen's practice location on file with NPPES is 560 Fairway Dr, Pocatello, ID 83201-2012.
- What is Tracie Hansen's phone number?
- The practice phone number listed in the NPPES registry for Tracie Hansen is (208) 242-6669.
- Is Tracie Hansen's NPI active?
- Yes — Tracie Hansen's NPI (1639779523) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.