Kelly Ann Hancock, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2276798 Issued in MA

Practice address

6 Margot LN
East Bridgewater, MA 02333-1689

Phone

(508) 265-1785

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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.

• Ma Pacs 2 PC

  • Hospitalist Physician
  • Chelsea, MA
  • NPI 1265918791

  MA, Single Specialty

  Medicare reassignment NPD
• Massachusetts Post Acute Medical Services 1 PC

  • Hospitalist Physician
  • Annapolis, MD
  • NPI 1699204503

  MA, Single Specialty

  Medicare reassignment NPD
• Golden Insight Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MA
  • NPI 1235711839

  Single Specialty

  NPD (past)
• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1659555266

  Single Specialty

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1225639552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MARGOT LN",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331689",
            "telephone_number": "508-265-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MARGOT LN",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331689",
            "telephone_number": "508-265-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2276798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Grace, LICSW
• Graham Counseling
• Connor Graham
• Brenda Gray, PHYSICIAN ASSISTANT
• Brooke M Gross
• Ethan Harpel, DPT
• Thomas Gilbert Harrington, MSPT
• Kayla Hashem
• Edward F Hassan, M.D.
• Kristin Leigh Hauvuy, APRN, FNP-BC

• All providers in East Bridgewater, MA
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.