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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JACK P HANCOCK
NPI 1093321689
Social Worker in Albuquerque, NM

Active since September 18, 2020PECOS Enrolled
9201 MONTGOMERY BLVD NE # 5, ALBUQUERQUE, NM 87111(505) 847-7116 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2024, Sep 26, 2024, Sep 18, 2020 (3 updates tracked since 2020).

About Mr. Jack P Hancock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK P HANCOCK (NPI 1093321689) is an individual social worker in Albuquerque, New Mexico, licensed in New Mexico (C-10705) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093321689
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. JACK P HANCOCK
Location Address9201 MONTGOMERY BLVD NE # 5Albuquerque, NM 87111-2468
Mailing Address2301 Yale Blvd Se Ste FAlbuquerque, NM 87106-4354 · (505) 272-7033
Phone(505) 847-7116
Sole ProprietorYes
Enumeration DateSeptember 18, 2020
Last NPPES UpdateOctober 19, 20263 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1093321689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · C-10705
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
9201 MONTGOMERY BLVD NE # 5, Albuquerque, NM 87111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jack P Hancock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jack Hancock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sage Neuroscience Center Inc
4.0 mi
Mental Health
7850 JEFFERSON ST NE STE 300
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 48 clinicians in this Medicare group
NPI 1578644415 (505) 884-1114
Unm Hospital
5.3 mi
General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 clinicians in this Medicare group
NPI 1689747552 (505) 272-1221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FERMIN GONZALES JR. CPSW, CCSS
Peer Specialist
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111
Bernalillo County (505) 219-1919
SESSYON CRAWFORD
Social Worker (Clinical)
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111
Bernalillo County (505) 217-1717
VINCENT PAUL BACA SR. CPSW
Peer Specialist
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111
Bernalillo County (505) 217-1717
MR. NEAL MCDONNELL CPSW
Peer Specialist
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111
Bernalillo County (505) 217-1717
MISS CARMEN ELIZABETH SHARPE LMSW
Social Worker
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111
Bernalillo County (505) 514-8900
KAREN YOSHIMOTO BERRY LSAA
Counselor (Addiction (Substance Use Disorder))
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111
Bernalillo County (505) 217-1717
KRISTINA MARIA STAFFORD CPSW
Peer Specialist
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111
Bernalillo County (505) 217-1717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hancock's NPI number?

The NPI number for Jack Hancock is 1093321689. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Jack Hancock located?

Jack Hancock practices at 9201 Montgomery Blvd NE # 5, Albuquerque, NM 87111. The listed phone number is (505) 847-7116.

What is Jack Hancock's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jack Hancock enrolled in Medicare?

Yes. Jack Hancock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Hancock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hancock reassigns Medicare benefits to 2 organizations: Sage Neuroscience Center Inc (Albuquerque, NM) and Unm Hospital (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Hancock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Hancock was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.