Active NPI
Natalie Hancock
- Medical Physician Assistant
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-2586
- Practice address
- 3820 Crestwood LN
Idaho Falls, ID 83404-4979 - Phone
- (208) 552-7700
- NPI assigned
- Jun 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-2586 | ID | Primary |
Addresses
Primary practice location
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Mailing address
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone (208) 552-7700
Other practice location 1
2965 E Tarpon Dr Ste 110
Meridian, ID 83642-9007
Phone (208) 918-2525
Other practice location 2
1550 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone (208) 529-5942
Other practice location 3
3339 Valencia Dr
Idaho Falls, ID 83404-7556
Phone (208) 524-6308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone 2085527700837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-2586 | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Womens Healthcare Corp,P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIEEDD
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1033314273
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1780266288
-
- Obstetrics & Gynecology Physician
- Idaho Falls, ID
- NPI 1972771756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1356071575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 CRESTWOOD LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044979",
"telephone_number": "208-552-7700",
"fax_number": "800-850-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 CRESTWOOD LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044979",
"telephone_number": "208-552-7700"
}
],
"practiceLocations": [
{
"address_1": "2965 E Tarpon Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836429007",
"country_code": "US",
"telephone_number": "208-918-2525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1550 Elk Creek Dr",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834048322",
"country_code": "US",
"telephone_number": "208-529-5942",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3339 Valencia Dr",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834047556",
"country_code": "US",
"telephone_number": "208-524-6308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANCOCK",
"first_name": "NATALIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-11",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-2586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Blaine A Hammond, DMD
- Boyd Lewis Hammond, MEDICAL DOCTOR
- Joann Hammond, M.S. CCC/SLP
- William Joseph Hammond, MD, MSC
- Jeffrey Hampton, PA-C
- Hands of Hope Home Health, LLC (Mission Home Health of Idaho Falls)
- Hands of Hope Hospice, LLC
- Catherine Peterson Hanks, COTA/L
- Eli Wallace Hanks, COTA/L
- Kevin Matthew Hanks, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.