Katlin Nolan Hancock, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-178364 Issued in AL

Practice address

1722 Pine St Ste 502
Montgomery, AL 36106-1160

Phone

(334) 293-8588

Fax

(334) 293-6978

NPI assigned

Aug 17, 2016

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 AL, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Physician Network, P.C.Group PAC ID 0840337721, 46 clinicians

Urology Associates PCGroup PAC ID 2961392931, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Williamson Medical Center Hospital, Franklin, TN, CCN 440029
• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Merit-based Incentive Payment System (MIPS)

Final score

80.71 of 100Reported as group

Quality

65.41

Promoting interoperability

90

Improvement activities

40

Cost

78.61

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA
• Direct secure messaging: khancock@aos1386.srs-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1598090839
  Medicare reassignment Care Compare group NPD
• Urology Associates PC

  • Urology Physician
  • Nashville, TN
  • NPI 1043297542
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Jackson Hospital & Clinic, Inc.

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic, Inc.

  • Urology Physician
  • Montgomery, AL
  • NPI 1760770754
  NPD
• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1255813119
  NPD
• Mittal Kidney and Dialysis

  • Adult Health Clinical Nurse Specialist
  • Cordova, TN
  • NPI 1750835724
  NPD (past)
• Mittal Kidney and Dialysis PC

  • Nephrology Physician
  • Cordova, TN
  • NPI 1831201466
  NPD (past)

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

• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation
• Williamson County Hospital District

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  Care Compare affiliation

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1497200638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 203",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061158",
            "telephone_number": "334-293-8736",
            "fax_number": "334-293-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 502",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061160",
            "telephone_number": "334-293-8588",
            "fax_number": "334-293-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "KATLIN",
        "middle_name": "NOLAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-178364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary C Hammond, CRNA
• Bennie R Hamner, MD
• Lashena Michele Hampton, CRNP
• Tonquita Knott Hampton, PT
• Maryam Afifah Hamzia, CNEP
• Hand and Occupational Therapy Center
• George M Handey, MD
• Handicapped Enviromental Living Program, Inc.
• Hands at Home LLC
• Hands on Healing, Inc.

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.