SUSANNAH HANCOCK NP
NPI 1164973053
Nurse Practitioner - Family in Ammon, ID
About Susannah Hancock Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANNAH HANCOCK NP (NPI 1164973053) is an individual family provider in Ammon, Idaho, licensed in Idaho (54459) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susannah Hancock Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susannah Hancock's NPI number?
The NPI number for Susannah Hancock is 1164973053. It was assigned to this individual provider in the NPPES registry on October 17, 2016.
Where is Susannah Hancock located?
Susannah Hancock practices at 1189 Red Robin Ave, Ammon, ID 83401. The listed phone number is (619) 602-4520.
What is Susannah Hancock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susannah Hancock enrolled in Medicare?
Yes. Susannah Hancock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Susannah Hancock was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Susannah Hancock, NP · NPI 1164973053
Family physician in Ammon, Idaho. Individual provider, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1164973053 (Entity type: Individual)
- **Enumerated:** October 17, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 54459 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1189 RED ROBIN AVE, Ammon, ID 83401-5747
- **Phone:** (619) 602-4520
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1164973053) · Data from the CMS NPPES public registry.