Individual provider Active NPI

Skyler Dane Hancock, FNP-BC

  • Family Nurse Practitioner
  • West Valley, UT
National Provider Identifier
1114638038
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10374865-4405 Issued in UT
Practice address
3534 S 6000 W
West Valley, UT 84128-2698
Phone
(801) 969-6264
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10374865-4405 UT Primary

Addresses

Primary practice location

3534 S 6000 W
West Valley, UT 84128-2698

Mailing address

347 E 750 S
Salem, UT 84653-5600
Phone (385) 225-0314

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL service@hunter-jordan.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230216000871 UT Practitioner - Nurse Practitioner 7416329677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Medical Center IncGroup PAC ID 3678461951, 9 clinicians

Practice addresses (Care Compare)

3534 S 6000
West Valley, UT 84128-2610
Phone (801) 969-6264

Hospital & facility affiliations

  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10374865-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Medical Center, Inc CurrentSince Feb 1, 2023 Accepting new patients
Hunter Medical Center, Inc PastSince Dec 18, 2022 Accepting new patients

Locations

3354 W 7800 S
West Jordan, UT 84088
Phone (801) 282-2677

3534 S 6000 W
West Valley City, UT 84128
Phone (801) 658-6904

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1114638038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 E 750 S",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535600",
            "telephone_number": "385-225-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 S 6000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841282698",
            "telephone_number": "801-969-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "SKYLER",
        "middle_name": "DANE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10374865-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "service@hunter-jordan.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3534 S 6000 W",
            "city": "West Valley",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841282698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

Verify at the official NPI Registry.