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

Susannah Hancock, NP

Individual provider Family Nurse Practitioner · NPI 1164973053

Susannah Hancock, NP is a Nurse Practitioner in Ammon, Idaho. Qualified in 2016, 10 years ago. Practices with Sleep Reset Medical Group of California PC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Idaho.

Years since qualifying
10
Licensed in
CA, ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1189 Red Robin Ave
Ammon, ID 83401-5747
Phone: (619) 602-4520
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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 54459 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95006211 (CA)

Record details

NPI number1164973053
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 17, 2016
Last updated in NPPESApril 16, 2025
Certification dateApril 9, 2025
Mailing address784 South Clear Loop Ste R, Post Falls, ID 83854

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sleep Reset Medical Group Of California Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Ammon