Individual provider Active NPI

Ellen M Hancox, M.D.

  • Obstetrics & Gynecology Physician
  • Newark, OH
National Provider Identifier
1609287580
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.155448 Issued in OH
Practice address
1320 W Main St
Newark, OH 43055-1822
Phone
(220) 564-4677
Fax
(220) 564-4678
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.155448 OH Primary
Obstetrics & Gynecology Physician 207V00000X MD465034 PA

Addresses

Primary practice location

1320 W Main St
Newark, OH 43055-1822

Mailing address

1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4677

Other practice location 1

4815 Liberty Avenue
Suite GR25
Pittsburgh, PA 15224
Phone (855) 281-4963

Other identifiers 1

IdentifierTypeStateIssuer
103535340-MedicaidPA

Other names 1

  • Ellen M Wallace Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ehancox45928@lickingmemorial.medicity.net
Direct Messaging Address ewallace21876@direct.ahn.org
Direct Messaging Address ewallace21876@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180830001915 PA Practitioner - Obstetrics/Gynecology 8628328374 Reassigns benefits to 2 organizations
I20260330002302 OH Practitioner - Obstetrics/Gynecology 8628328374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite 290
Erie, PA 16502-4609
Phone (814) 879-6636

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.155448OHMDObstetrics & Gynecology Physician
MD465034PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 1, 2018 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2018 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Aug 1, 2021 Accepting new patients
Saint Vincent Health Center Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2315 Myrtle St
Ste G30
Erie, PA 16502
Phone (814) 452-5504

4950 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2576

4247 W Ridge Rd
Erie, PA 16506
Phone (814) 835-2580

2315 Myrtle St
Ste 290
Erie, PA 16502
Phone (814) 454-1142

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4000 Waterdam Plaza Dr
Ste 180
McMurray, PA 15317
Phone (724) 941-1866

4815 Liberty Ave
Ste GR25
Pittsburgh, PA 15224
Phone (855) 281-4463

Interoperability endpoints

  • Direct secure messaging: ehancox45928@lickingmemorial.medicity.net
  • Direct secure messaging: ewallace21876@direct.ahn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1609287580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551822",
            "telephone_number": "220-564-4677",
            "fax_number": "220-564-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551822",
            "telephone_number": "220-564-4677",
            "fax_number": "220-564-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Liberty Avenue",
            "address_2": "Suite GR25",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15224",
            "country_code": "US",
            "telephone_number": "855-281-4963",
            "fax_number": "412-605-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOX",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.155448",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD465034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103535340-",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehancox45928@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewallace21876@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Avenue",
            "address_2": "Suite GR25",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewallace21876@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Avenue",
            "address_2": "Suite GR25",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "WALLACE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.