Individual provider Active NPI

John A Hancock, CRNP, AGNP-C

  • Primary Care Nurse Practitioner
  • Berlin, MD
National Provider Identifier
1063909398
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R193259 Issued in MD
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

Updated by the provider on Aug 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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
Medical Maryland Star Choice LLCGroup PAC ID 1153731765, 17 clinicians
Post Acute Physician Partners LLCGroup PAC ID 8224353891, 36 clinicians

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 100Reported as apm
Quality
33.56
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LP-0010374DEMDNurse Practitioner
R193259MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Hollow Health PC CurrentSince Sep 30, 2025 Accepting new patients
Post Acute Physician Partners, LLC CurrentSince Feb 24, 2020 Accepting new patients
Belmont Family Practice, Inc. CurrentSince Dec 11, 2018 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.

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

Verify at the official NPI Registry.