Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edwin Hancock, APRN

Individual provider Family Nurse Practitioner · NPI 1255009379

Edwin Hancock, APRN is a Nurse Practitioner in Beaver Dam, Kentucky. Qualified in 2021, 5 years ago. Practices with Fast Pace Kentucky, PLLC, a 216-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1297 Thompson Dr
Beaver Dam, KY 42320-9177
Phone: (270) 291-5165
Fax: (833) 468-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3016618 (KY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 3016618 (KY)

Record details

NPI number1255009379
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 2, 2021
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing addressPo Box 331, Hartford, KY 42347-0331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fast Pace Kentucky, Pllc — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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