Active NPI
Carrie Anne Hancock, CNP
- Gerontology Nurse Practitioner
- Ashland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.024805
- Practice address
- 45 Amberwood Pkwy
Ashland, OH 44805-8854 - Phone
- (567) 241-7770
- Fax
- (567) 241-7502
- NPI assigned
- Jun 26, 2019
- Last updated
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.024805 | OH | Primary |
Addresses
Primary practice location
45 Amberwood Pkwy
Ashland, OH 44805-8854
Mailing address
5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Phone (614) 533-6497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG06190075 | Other | OH | AANP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chancock350618@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Amberwood Pkwy
Ashland, OH 44805-9765
Phone (419) 289-1774
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
45 Amberwood Pkwy
Ashland, OH 44805
Phone (419) 281-3668
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
Organizations & group practices 2
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.
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mansfield, OH
- NPI 1790837235
-
dba Mansfield Laboratory Services
- Clinical Medical Laboratory
- Mansfield, OH
- NPI 1962888016
Hospital
-
dba University Hospitals Samaritan Medical Center
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1700447158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD STE 360",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164141",
"telephone_number": "614-533-6497",
"fax_number": "614-544-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 AMBERWOOD PKWY",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448058854",
"telephone_number": "567-241-7770",
"fax_number": "567-241-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "CARRIE",
"middle_name": "ANNE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.024805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "AG06190075",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chancock350618@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "45 Amberwood Pkwy",
"city": "Ashland",
"state": "OH",
"country_code": "US",
"postal_code": "448058854",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.