Active NPI
John A Hancock, CRNP, AGNP-C
- Primary Care Nurse Practitioner
- Berlin, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R193259
- Practice address
- 9715 Healthway Dr
Berlin, MD 21811-3500 - Phone
- (410) 548-2343
- Fax
- (844) 332-3891
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R193259 | MD | Primary |
| Nurse Practitioner | 363L00000X | LP-0010374 | DE | |
| Nurse Practitioner | 363L00000X | R193259 | MD |
Addresses
Primary practice location
9715 Healthway Dr
Berlin, MD 21811-3500
Mailing address
PO Box 3177
Salisbury, MD 21802-3177
Phone (410) 548-2343
Other practice location 1
231 S Washington St
Millsboro, DE 19966-1236
Phone (410) 548-2343
Other practice location 2
105 Time Sq
Salisbury, MD 21801-2808
Phone (410) 548-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190124000435 | MD | Practitioner - Nurse Practitioner | 6709123078 | Reassigns benefits to 4 organizations |
| I20200810000316 | DE | Practitioner - Nurse Practitioner | 6709123078 | Reassigns benefits to 1 organization |
| I20260512002479 | DC | Practitioner - Nurse Practitioner | 6709123078 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10714 Potomac Tennis LN
Potomac, MD 20854-4418
Phone (410) 600-3744
26757 Crooked Oak LN
Hebron, MD 21830-1232
Phone (410) 548-2343
5999 Harpers Farm Rd
Suite W230
Columbia, MD 21044-3025
Phone (347) 294-5166
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.78 of 100
- Quality
- 33.56
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0010374 | DE | MD | Nurse Practitioner |
| R193259 | MD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Hollow Health PC | Current | Accepting new patients | |
| Post Acute Physician Partners, LLC | Current | Accepting new patients | |
| Belmont Family Practice, Inc. | Current | Accepting new patients |
Locations
231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664
1346 Belmont Ave
Ste 602
Salisbury, MD 21804
Phone (443) 978-7317
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1003700071
MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1063909398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3177",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218023177",
"telephone_number": "410-548-2343",
"fax_number": "844-332-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 HEALTHWAY DR",
"city": "BERLIN",
"state": "MD",
"postal_code": "218113500",
"telephone_number": "410-548-2343",
"fax_number": "844-332-3891"
}
],
"practiceLocations": [
{
"address_1": "231 S Washington St",
"address_purpose": "LOCATION",
"city": "Millsboro",
"state": "DE",
"postal_code": "199661236",
"country_code": "US",
"telephone_number": "410-548-2343",
"fax_number": "844-332-3891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Time Sq",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218012808",
"country_code": "US",
"telephone_number": "410-548-2343",
"fax_number": "844-332-3891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANCOCK",
"first_name": "JOHN",
"middle_name": "A",
"credential": "CRNP, AGNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R193259",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LP-0010374",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R193259",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.