Individual provider Active NPI

Katrina Hadcock, FNP-BC

  • Family Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1932520244
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704259375 Issued in MI
Practice address
7070 E Dr N
Battle Creek, MI 49014-8562
Phone
(269) 660-1670
Fax
(269) 660-0666
NPI assigned
Jan 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704259375 MI Primary

Addresses

Primary practice location

7070 E Dr N
Battle Creek, MI 49014-8562

Mailing address

6322 Sherwood Hwy
Olivet, MI 49076-8603
Phone (517) 242-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140303000809 MI Practitioner - Nurse Practitioner 2567692080 Reassigns benefits to 1 organization
I20170929003383 IN Practitioner - Nurse Practitioner 2567692080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Surgery CenterGroup PAC ID 2668467838, 29 clinicians

Practice addresses (Care Compare)

150 Growth Pkwy
Angola, IN 46703-9313
Phone (260) 665-1670

2121 Spring Arbor Rd
Jackson, MI 49203-2707
Phone (517) 787-5350

7070 E Dr N
Battle Creek, MI 49014-8562
Phone (269) 660-1670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Surgery Center CurrentSince Jan 6, 2014 Accepting new patients

Locations

150 Growth Pkwy
Angola, IN 46703
Phone (260) 665-1670

306 E Maumee St
Ste 301
Angola, IN 46703
Phone (260) 665-1670

7070 E Dr N
Battle Creek, MI 49014
Phone (269) 660-1670

2121 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 787-5350

Interoperability endpoints

  • Direct secure messaging: khadcock@docsdermmi.emadirect.md

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.

Hospital & facility affiliations 2

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": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1932520244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 SHERWOOD HWY",
            "city": "OLIVET",
            "state": "MI",
            "postal_code": "490768603",
            "telephone_number": "517-242-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 E DR N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148562",
            "telephone_number": "269-660-1670",
            "fax_number": "269-660-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADCOCK",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.