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HOLLY HANCOCK
NPI 1689118887
Nurse Anesthetist, Certified Registered in West Bloomfield, MI

Active since December 07, 2016Accepts Medicare Assignment
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(248) 325-0636(248) 325-0640 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Holly Hancock NPPES

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

HOLLY HANCOCK (NPI 1689118887) is an individual nurse anesthetist, certified registered in West Bloomfield, Michigan, licensed in Michigan (4704345820) and active in the NPI registry since December 2016. She is affiliated with Henry Ford Health West Bloomfield Hospital, maintains a secondary practice location in Toledo, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689118887
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameHOLLY HANCOCK
Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(248) 325-0636
Fax(248) 325-0640
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 7, 2016
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1689118887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MI · 4704345820✔ Licensed in OH · 0021344
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6777 W MAPLE RD, West Bloomfield, MI 48322
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Secondary Practice Location 1

Location 12142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 291-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Hancock 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.

PECOS PAC ID1052827623
PECOS Enrollment IDI20250721002951, I20250909001309

Medicare Billing Reassignments

3

Medicare enrollment records show Holly Hancock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford West Bloomfield Hospital
Same address
Anesthesiology
6777 W. MAPLE
West Bloomfield, MI 48322
  • Reassigned Medicare billing, Michigan enrollment
  • 161 clinicians in this Medicare group
NPI 1518104686 (248) 661-4100
Henry Ford Health System
20 mi
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 306 clinicians in this Medicare group
NPI 1871666479 (313) 916-2600
Promedica Central Physicians
62 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

IRB MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322
Oakland County (248) 862-7214
MELISSA ANNE BARACH AGCNS
Clinical Nurse Specialist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (989) 245-7466
ANNA CEDOZ CCC-SLP
Speech-Language Pathologist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-1000
SAYEDUL ISLAM
Specialist/Technologist, Other (Surgical Assistant)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
MADISON SOKOL MOT
Occupational Therapist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-3113
SARAH ANNE MATTAN PA
Physician Assistant (Medical)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
JENNIFER LEE FRANKLIN M.D.
Emergency Medicine
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (843) 876-8023
NICOLE AURORA RADU-YAKOB CRNA
Nurse Anesthetist, Certified Registered
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 661-4100

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 Holly Hancock's NPI number?

The NPI number for Holly Hancock is 1689118887. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Holly Hancock located?

Holly Hancock practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (248) 325-0636.

What is Holly Hancock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Holly Hancock enrolled in Medicare?

Yes. Holly 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.

Which organizations bill Medicare for Holly Hancock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Hancock reassigns Medicare benefits to 3 organizations: Henry Ford West Bloomfield Hospital (West Bloomfield, MI), Henry Ford Health System (Detroit, MI) and Promedica Central Physicians (Toledo, OH). 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 Holly Hancock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Hancock accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, Paramount and Priority Health list Holly Hancock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Holly Hancock affiliated with any hospitals?

According to CMS data, Holly Hancock is affiliated with Henry Ford Health West Bloomfield Hospital and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Holly Hancock was last updated on July 15, 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.