Individual provider Active NPI

Misti Dawn Ickes, CRNP

  • Family Nurse Practitioner
  • Barrington, NJ
National Provider Identifier
1003382516
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019492 Issued in PA
Practice address
600 Clements Bridge Rd
Barrington, NJ 08007-1814
Phone
(856) 547-8000
NPI assigned
Oct 23, 2018
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019492 PA Primary
Registered Nurse 163W00000X RN556888 PA

Addresses

Primary practice location

600 Clements Bridge Rd
Barrington, NJ 08007-1814

Mailing address

600 Clements Bridge Rd
Barrington, NJ 08007-1814
Phone (856) 547-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181212000240 PA Practitioner - Nurse Practitioner 4486998838 Reassigns benefits to 3 organizations
I20230530001758 WV Practitioner - Nurse Practitioner 4486998838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN556888PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Wound Healing Solutions Pennsylvania and Delaware LLC CurrentSince Oct 29, 2018 Accepting new patients
Consonant Healing Medical Associates CurrentSince May 30, 2023 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince May 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Senf NP Family Medicine PLLC Past Accepting new patients

Locations

909 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (301) 938-0115

909 Ridgebrook Rd
Ste 220
Sparks Glencoe, MD 21152

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

1404 Hay St
Berlin, PA 15530
Phone (814) 267-4212

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

607 E 26th St
Erie, PA 16504
Phone (814) 451-1334

395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

1263 S George St
Charles Town, WV 25414
Phone (240) 420-2666

1263 S George St
#A
Charles Town, WV 25414

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1003382516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-547-8000",
            "fax_number": "856-547-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-547-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICKES",
        "first_name": "MISTI",
        "middle_name": "DAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019492",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN556888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, NJ

Sources for this page

Verify at the official NPI Registry.