JACQUELINE G. HANCOCK, CRNA, PA
NPI 1285800110
Nurse Anesthetist, Certified Registered in Manchester, MD

NPI Status: Active since April 30, 2008

Contact Information

3245 FARM LN
MANCHESTER, MD
ZIP 21102
Phone: (410) 893-1172

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  • Organization
  • Nurse Anesthetist, Certified Registered

About JACQUELINE G. HANCOCK, CRNA, PA

This page provides the complete NPI Profile along with additional information for Jacqueline G. Hancock, Crna, Pa, a provider established in Manchester, Maryland operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1285800110 assigned on April 2008. The practitioner's primary taxonomy code is 367500000X with license number R036423 (MD). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jacqueline Kgwen Hancock Crna (Crna)

NPI
1285800110
Provider Name
JACQUELINE G. HANCOCK, CRNA, PA
Entity Type
Organization
Location Address
3245 FARM LN MANCHESTER, MD 21102
Location Phone
(410) 893-1172
Mailing Address
3245 FARM LN MANCHESTER, MD 21102
Mailing Phone
(410) 239-7074
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2008
Last Update Date
04-30-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R036423
License State
MD
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQUELINE KGWEN HANCOCK CRNA

Authorized Official Title
CRNA
Authorized Official Phone
(410) 239-7074

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
050MOTHER (01)MEDICARE GROUP ID
218011100MEDICAID (05)MD 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285800110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165160012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 6 + 0 + 0 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1285800110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285800110, enumerated in the NPI registry as an "organization" on April 30, 2008

The provider is located at 3245 Farm Ln Manchester, Md 21102 and the phone number is (410) 893-1172

This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 30, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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