Pamela R. Hancock, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

3018681 Issued in KY

Practice address

63 Breezy HL
Monticello, KY 42633-2839

Phone

(606) 340-9330

NPI assigned

Jan 5, 2023

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monticello Medical Associates, Inc.Group PAC ID 2062409154, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
• Wayne County Hospital Hospital, Monticello, KY, CCN 181321
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

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.

• Monticello Medical Associates, Inc

  dba Monticello Medical Associates

  • Federally Qualified Health Center (FQHC)
  • Monticello, KY
  • NPI 1063007672
  Medicare reassignment Care Compare group

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

• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation
• Lifeline Home Health Care of Somerset, LLC

  dba Lifeline Health Care of Pulaski

  • Home Health Agency
  • Somerset, KY
  • NPI 1114951993
  Care Compare affiliation
• Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
  • NPI 1871548016
  Care Compare affiliation

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1285347112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BREEZY HL",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332839",
            "telephone_number": "606-340-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BREEZY HL",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332839",
            "telephone_number": "606-340-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "PAMELA",
        "middle_name": "R.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3018681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Rae Guffey, CCC-SLP
• Bridget Louise Hahn Southwood, LPCA
• Darin L. Hale, MD
• William Mitchell Hall, MD
• Shirley J Hamblin
• Philip A Hardin, D.M.D.
• Matt J Hesse, O.D.
• Hicks Enterprises of Monticello, LLC (Hicks Golden Years Nursing Home)
• Derek Hicks
• Jason T Hicks, APRN, LCSW

• Gerontology Nurse Practitioner in Monticello, KY
• Providers in Monticello, KY by specialty
• Gerontology Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.