Active NPI
Kelly Anne Hancey, P.A.
- Physician Assistant
- Springville, UT
National Provider Identifier
1114237864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12682993-1206
- Practice address
- 1132 W 1150 S
Springville, UT 84663-6156 - Phone
- (480) 789-0882
- Fax
- (623) 288-5225
- NPI assigned
- Oct 15, 2010
- Last updated
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12682993-1206 | UT | Primary |
Addresses
Primary practice location
1132 W 1150 S
Springville, UT 84663-6156
Mailing address
1132 W 1150 S
Springville, UT 84663-6156
Phone (480) 789-0882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12682993-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucxtra Umbrella, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1114237864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 W 1150 S",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846636156",
"telephone_number": "480-789-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 W 1150 S",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846636156",
"telephone_number": "480-789-0882",
"fax_number": "623-288-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCEY",
"first_name": "KELLY",
"middle_name": "ANNE",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "12682993-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.