NPIMap

Individual provider Active NPI

Anthony Michael Hancock, CRNP

  • Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1689668907
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008046 Issued in PA
Practice address
3040 Market St
Camp Hill, PA 17011-4539
Phone
(717) 727-0480
Fax
(717) 327-4613
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP008046 PA
Nurse Practitioner 363L00000X SP008046 PA Primary

Addresses

Primary practice location

3040 Market St
Camp Hill, PA 17011-4539

Mailing address

3040 Market St
Camp Hill, PA 17011-4539
Phone (717) 727-0480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000379 PA Practitioner - Nurse Practitioner 9537053954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Experts of Pennsylvania LLCGroup PAC ID 8123420288, 3 clinicians

Practice addresses (Care Compare)

3040 Market St
Camp Hill, PA 17011-4539
Phone (717) 727-0480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008046PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Experts of Pennsylvania, LLC CurrentSince Sep 21, 2021 Accepting new patients
Moffitt Heart and Vascular Group Inc. Past Accepting new patients
John J. Cassel, MD, PC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3040 Market St
Camp Hill, PA 17011
Phone (717) 727-0480

Interoperability endpoints

  • Direct secure messaging: anthonyhancockcrnp@cardiovascularexperts.medentdirect.com

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1689668907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114539",
            "telephone_number": "717-727-0480",
            "fax_number": "717-327-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114539",
            "telephone_number": "717-727-0480",
            "fax_number": "717-327-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008046",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.