Individual provider · Type 1 NPI

Tracie Lyn Hansen, B.S.

Case Manager/Care Coordinator · Pocatello, ID

NPI number 1639779523 Active

Practice location

1246 Yellowstone Ave Ste B4
Pocatello, ID 83201-4372

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XCPSS055 (ID)
Case Manager/Care Coordinator Primary 171M00000XNone listed

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1639779523

Tracie Lyn Hansen, B.S.'s National Provider Identifier is 1639779523, issued on Oct 29, 2020. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 9, 2026.