Alan Ray Hancock, RN, APRN
Individual provider Active NPI Family Nurse Practitioner · Calhoun, LA
NPI 1487989257 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1487989257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN099208-AP05958 (LA)
- Practice address
- 3057 Highway 80 W
Calhoun, LA 71225-7907 - Phone
- (318) 644-5838
- Fax
- (318) 644-5836
- NPI assigned
- Oct 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Ouachita Family Medicine LLC
Practice addresses (Care Compare)
3057 Hwy 80 W
Calhoun, LA 71225-7907
Phone (318) 644-5838
Hospital & facility affiliations
- Glenwood Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| West Ouachita Family Medicine LLC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Operational/Managerial Control (100%) |
Jan 6, 2014 Jan 6, 2014 Jan 6, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100309000399 | LA | Practitioner - Nurse Practitioner | 5890830301 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN099208-AP05958 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Ouachita Family Medicine LLC | Family | Current |
Accepting new patients |
| St Francis Medical Center, Inc | Past |
Accepting new patients |
Locations
3057 Highway 80 W
Calhoun, LA 71225
Phone (318) 644-2732
122 Professional Dr
West Monroe, LA 71291
Phone (318) 322-0058
1245 Glenwood Dr
West Monroe, LA 71291
Phone (318) 361-3878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN099208-AP05958 | LA | Yes |
Addresses
Primary practice location
3057 Highway 80 W
Calhoun, LA 71225-7907
Mailing address
3057 Highway 80 W
Calhoun, LA 71225-7907
Phone (318) 644-5838
Other providers in Calhoun, LA
- Craig Peter Folse
- Hannah Blake Fradella
- Latoya Franklin-Jackson
- Chelsea Gray
- Cristy Halley
- Natalie Harrell
- Heart Lung and Vascular Clinic, LLC
- Kellie Terrell Hillman
- Kamp Management, LLC
- Matthew Skyler Lacaze
All providers in Calhoun, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.