DR. KRISTEN HANCOCK MD
NPI 1780261040
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1411 E 31ST ST # 22123, OAKLAND, CA 94602(510) 437-4564 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristen Hancock Md NPPES

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

DR. KRISTEN HANCOCK MD (NPI 1780261040) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2021).

NPPES Registry Identity

NPI1780261040
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KRISTEN HANCOCKCredential: MD
Location Address1411 E 31ST ST # 22123Oakland, CA 94602-1092
Mailing Address326 Ferndale PlFlint, MI 48503-2348 · (310) 944-0851
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2021
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1780261040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1411 E 31ST ST # 22123, Oakland, CA 94602

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

Dr. Kristen Hancock Md 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 ID3577055318
PECOS Enrollment IDI20251119004468
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.

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.

Emergency Medicine
1411 E 31ST ST # 22123
OAKLAND, CA 94602
Student in an Organized Health Care Education/Training Program
1411 E 31ST ST # 22123
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST # 22123
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST # 22123
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST # 22123
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST # 22123
OAKLAND, CA 94602
Student in an Organized Health Care Education/Training Program
1411 E 31ST ST # 22123
OAKLAND, CA 94602

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 Kristen Hancock's NPI number?

The NPI number for Kristen Hancock is 1780261040. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Kristen Hancock located?

Kristen Hancock practices at 1411 E 31st St # 22123, Oakland, CA 94602. The listed phone number is (510) 437-4564.

What is Kristen Hancock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristen Hancock enrolled in Medicare?

Yes. Kristen 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 Kristen Hancock was last updated on March 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.