Individual provider Active NPI

Natalie Hancock

  • Medical Physician Assistant
  • Idaho Falls, ID
National Provider Identifier
1356071575
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-2586 Issued in ID
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

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114002915 ID Practitioner - Physician Assistant 5193172054 Reassigns benefits to 2 organizations

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
Family First Medical Center PLLCGroup PAC ID 1052480076, 18 clinicians
Precision Medical Care LLCGroup PAC ID 2264831031, 6 clinicians

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

LicenseStateTypeSpecialty
PA-2586IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Womens Healthcare Corp,P.C. PastSince Aug 9, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.