Ulyssa Hancock
Nurse Practitioner, Pediatrics in Detroit, MI. Individual provider (NPI-1).
NPI number1295072205
StatusActive
Last updated in NPPESJan 19, 2017
Details
- NPI
- 1295072205
- Entity type
- Individual (NPI-1)
- Name
- Ulyssa Hancock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2013
- Last updated
- Jan 19, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704235223 | MI | Yes |
Practice location
3950 Beaubien - 3rd FlChildren'S Hospital Of Mi
Detroit, MI 48201
Phone 313-832-8550 · Fax 313-993-8685
Mailing address
4201 St Antoine - Uhc 5d Mailbox 226University Pediatricians
Detroit, MI 48201-2153
Phone 313-745-4405 · Fax 313-966-0665
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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