Susan Kay Hancock, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002413 Issued in NV

Practice address

4450 N Tenaya Way Ste 200
Las Vegas, NV 89129-7136

Phone

(702) 525-6046

Fax

(702) 745-0904

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Superior Emergency Physicians Harris, PLLC

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1356885222
  Medicare reassignment NPD
• Wolfson & Wolfson LLP

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1376635045
  Medicare reassignment NPD
• The Hummingbird Health PLLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1396527578
  NPD Authorized official
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD (past)

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1770027724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 VILLANELLE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440555",
            "telephone_number": "702-525-6046",
            "fax_number": "702-745-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 N TENAYA WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297136",
            "telephone_number": "702-525-6046",
            "fax_number": "702-745-0904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Villanelle Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890440555",
            "country_code": "US",
            "telephone_number": "702-525-6046",
            "fax_number": "702-745-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Marks St Ste 126",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890148603",
            "country_code": "US",
            "telephone_number": "702-525-6046",
            "fax_number": "702-745-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3186 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092317",
            "country_code": "US",
            "telephone_number": "702-731-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayda Hancock
• Katrina Hancock
• Kyle John Hancock, M.D.
• Lauren Hancock
• Nicole Hancock
• Hand in Hand Supportive Care Agency
• Hand Surgery Specialists of Nevada Young LLP
• Hand Surgery Specialists of Nevada Young LLP
• Hand Surgery Specialists of Nevada Young LLP
• Hand Surgery Specialists of Nevada Young, LLP

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.