Edwin Hancock, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3016618 Issued in KY

Practice address

1297 Thompson Dr
Beaver Dam, KY 42320-9177

Phone

(270) 291-5165

Fax

(833) 468-4881

NPI assigned

Sep 2, 2021

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fast Pace Kentucky PLLC

  dba Fast Pace Urgent Care

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1457716706
  Medicare reassignment Care Compare group NPD
• Brock Medical, LLC

  dba First Care Clinics, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Commonwealth Pain Associates, PLLC

  dba Commonwealth Pain and Spine

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  Family

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  KY

  Medicare reassignment NPD
• Kentucky Medical Care

  • Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1134060080
  NPD Authorized official
• Commonwealth Pain Associates PLLC

  dba Commonwealth Pain And Spine

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720
  NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Hospital PS

  • Emergency Medicine Physician
  • Hartford, KY
  • NPI 1386764678
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Surgical Care

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Healthcare Gastroenterology

  • Gastroenterology Physician
  • Owensboro, KY
  • NPI 1437961828
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Family Care Hartford

  • Family Medicine Physician
  • Hartford, KY
  • NPI 1780877381
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Family Care Beaver Dam

  • Family Medicine Physician
  • Beaver Dam, KY
  • NPI 1942493275
  NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1255009379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470331",
            "telephone_number": "270-291-5165",
            "fax_number": "833-468-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 THOMPSON DR",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423209177",
            "telephone_number": "270-291-5165",
            "fax_number": "833-468-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "EDWIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016618",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3016618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300061509",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100767930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Gowins, OT
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• Donald Kevin Gregory, MD
• Jaime Gregory
• Hallie Jo Haddock
• Courtney Hardy, APRN, FNP
• Lisa Robbins Haynes
• Helping Hands Counseling Services, LLC
• Kellie Michelle Hickerson, RN BSN MSN PMHNP-BC
• Jennifer Nicole Horn, O.T.D.

• Family Nurse Practitioner in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.

Verify at the official NPI Registry.