TYSON HANSON — NPI 1457976045 (Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in SHELEY, ID)

CMS-1500 Box 24J / 33a • NPI

1457976045

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

385HR2060X

Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child

Box 32 Service Location & ZIP+4

1496 N 1070 E, SHELEY, ID, 83274

Official NPPES Practice Location

Practice Phone & Referral Fax

(208) 521-1837

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457976045 (TYSON HANSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457976045` (NPI-1 Individual Practitioner)
Provider / Legal Name	TYSON HANSON
Plain-English Specialty	Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child NUCC Code: `385HR2060X` (Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1496 N 1070 E, SHELEY, ID, 83274
Practice Telephone / Fax	Tel: (208) 521-1837
Administrative Mailing Address	315 WIND RIVER DR, SHELLEY, ID, 83274-2101
Enumeration & Last Sync	Enumerated: 2020-06-10 \| CMS Record Updated: 2020-06-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1496 N 1070 E, SHELEY, ID, 83274

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Plain-English Taxonomy & CMS Crosswalk (385HR2060X)

What Does Taxonomy Code 385HR2060X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 385HR2060X translates to:
"Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TYSON HANSON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TYSON HANSON (NPI #1457976045)