Individual provider Active NPI

Regan Hancock

  • Primary Care Nurse Practitioner
  • Elkton, KY
National Provider Identifier
1851112379
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4005962 Issued in KY
Practice address
713 W Main St
Elkton, KY 42220-9229
Phone
(270) 265-5353
Fax
(270) 265-5350
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4005962 KY Primary

Addresses

Primary practice location

713 W Main St
Elkton, KY 42220-9229

Mailing address

331 N Abbey Way
Hopkinsville, KY 42240-9441
Phone (270) 839-7205

Other practice location 1

241 S Madisonville St
Crofton, KY 42217-8009
Phone (270) 220-0240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20250613002868 KY Practitioner - Nurse Practitioner 6608387907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elkton Clinic PSC CurrentSince Apr 4, 2025 Accepting new patients

Locations

713 W Main St
Elkton, KY 42220
Phone (270) 265-5353

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1851112379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N ABBEY WAY",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422409441",
            "telephone_number": "270-839-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W MAIN ST",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422209229",
            "telephone_number": "270-265-5353",
            "fax_number": "270-265-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 S Madisonville St",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "KY",
            "postal_code": "422178009",
            "country_code": "US",
            "telephone_number": "270-220-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "REGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "4005962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, KY

Sources for this page

Verify at the official NPI Registry.