Active NPI
Jeanne M Hancock, FNP
- Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 079419
- Practice address
- 3933 S Broadway
Saint Louis, MO 63118-4601 - Phone
- (314) 865-7000
- Fax
- (314) 865-7073
- NPI assigned
- Oct 2, 2006
- Last updated
- Sep 10, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 079419 | MO | Primary |
Addresses
Primary practice location
3933 S Broadway
Saint Louis, MO 63118-4601
Mailing address
200 Collinsville Ave
Collinsville, IL 62234-2407
Phone (618) 345-4265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-5644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Nurse Practitioner | Current | Accepting new patients |
| Our Urgent Care, LLC | Current | Accepting new patients | |
| Mo Cardinals Emergency Physicians, LLC | Past | Accepting new patients | |
| Saint Louis Connectcare | Past | Accepting new patients | |
| St Alexius Emergency Physicians LLC | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
2070 McKelvey Rd
Maryland Hts, MO 63043
Phone (314) 309-3562
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO, Nurse Practitioner
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
MO, Nurse Practitioner
-
- Urgent Care Clinic/Center
- Wentzville, MO
- NPI 1902815863
-
- Urgent Care Clinic/Center
- Maryland Heights, MO
- NPI 1871819680
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1124454442
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1396703278
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1578796157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1972696730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COLLINSVILLE AVE",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622342407",
"telephone_number": "618-345-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 S BROADWAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631184601",
"telephone_number": "314-865-7000",
"fax_number": "314-865-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JEANNE",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "079419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.