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Jon C Hansen , PA-C

Physician Assistant - Surgical β€’ Draper, UT

Active NPI 1629435748 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

96 E Kimballs Ln Ste 207
Draper, UT 840205025

Call 8015762300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

96 E Kimballs Ln Ste 207

Draper, UT 840205025

Telephone 8015762300
Fax 8015762399

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jon Hansen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jon Hansen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Draper and Utah

5 active clinicians are listed under Physician Assistant - Surgical with a practice address in Draper, UT (145 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-07
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES UT 14260704-1206
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260522000935

Enrollment State Jurisdiction

UT

PECOS Control ID

0840595120

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Spencer Amundsen , MD

Orthopaedic Surgery

NPI 1841517257

Doctor of Medicine (M.D.)

Patrick Barnes , PA

Physician Assistant

NPI 1447329164

Physician Assistant

Dr. Charles Beck , MD

Orthopaedic Surgery - Sports Medicine

NPI 1528124815

Doctor of Medicine (M.D.)

Dr. James Brewster , DO

Orthopaedic Surgery

NPI 1407248990

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Fenton , MD

Orthopaedic Surgery

NPI 1003820234

Doctor of Medicine (M.D.)

Jason Holden , PA-C

Physician Assistant - Surgical

NPI 1295071801

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location May 07, 2026

Registered at 96 E KIMBALLS LN STE 207, DRAPER, UT 840205025 (Tel: 8015762300)

πŸ“
Updated Business Mailing Address May 07, 2026

Registered at PO BOX 100253, ATLANTA, GA 303840253

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2026

Physician Assistant (license number reported to NPPES: UT 14260704-1206)

βœ…
NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 27, 2017

Registered at 301 HIGHLAND AVE, JENKINTOWN, PA 190462630 (Tel: 2155723423)

πŸ“
Updated Business Mailing Address February 27, 2017

Registered at 226 PARKER AVE, UPPER DARBY, PA 190821222 (Tel: 8014195409)

πŸ‘€
Provider Name / Credentials Updated February 27, 2017

Recorded as JON HANSEN, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Physician Assistant (license number reported to NPPES: PA MA058073)

βœ…
NPI Profile Active January 20, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 20, 2016

Registered at 5501 OLD YORK RD, KORMAN BUILDING SUITE 202, PHILADELPHIA, PA 191413018 (Tel: 2154566679)

πŸ“
Business Mailing Address (Initial Record) January 20, 2016

Registered at 5501 OLD YORK RD, KORMAN BUILDING SUITE 202, PHILADELPHIA, PA 191413018 (Tel: 2154566679)

πŸ‘€
Provider Name / Credentials (Initial Record) January 20, 2016

Recorded as JON HANSEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2016

Physician Assistant (license number reported to NPPES: PA MA058073)

🟒
Initial NPI Registration & Enumeration January 20, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629435748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2016
Last Update: May 07, 2026
Sole Proprietor: No

Other Physician Assistant - Surgicals in Draper

Healthcare providers in Draper

Mailing Address

Po Box 100253

Atlanta, GA 303840253

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.