Active NPI
Melissa C Hicks, CRNA
- Certified Registered Nurse Anesthetist
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA3889
- Practice address
- 200 Mercy Circle
Oceanside, CA 92055 - Phone
- (760) 685-1296
- NPI assigned
- Feb 11, 2010
- Last updated
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA3889 | CA | Primary |
Addresses
Primary practice location
200 Mercy Circle
Oceanside, CA 92055
Mailing address
PO Box 555191
Camp Pendleton, CA 92055-5191
Other practice location 1
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333
Other practice location 2
2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 395-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Newport Ctr Dr
Suite 609
Newport Beach, CA 92660-7695
Phone (949) 760-0398
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3889 | CA | MD | Speech-Language Assistant |
| NA3889 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Ca United Surgery Center LP | Current | Accepting new patients | |
| United Medical Doctors | Current | Accepting new patients | |
| Temecula Ca United Surgery Center, LP | Current | Accepting new patients | |
| Temecula Ca Endoscopy ASC LP | Current | Accepting new patients | |
| Temecula Ca Endoscopy ASC LP | Current | Accepting new patients | |
| United Medical Doctors | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pioneers Memorial Healthcare District | Past | Accepting new patients |
Locations
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Murrieta, CA
- NPI 1770559981
Nurse Anesthetist, Certified Registered
-
dba Temecula Valley Endoscopy Center
- Anesthesiology Physician
- Murrieta, CA
- NPI 1285863696
-
- Ambulatory Surgical Clinic/Center
- Temecula, CA
- NPI 1275951196
-
- Anesthesiology Physician
- Brawley, CA
- NPI 1487087136
-
dba Temecula Valley Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Murrieta, CA
- NPI 1477527398
-
dba United Surgery Center - Temecula
- Anesthesiology Physician
- Temecula, CA
- NPI 1013376482
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1194554675
-
dba Calexico Health Center RHC
- Rural Health Clinic/Center
- Calexico, CA
- NPI 1437122769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1053643387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 555191",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-685-1296"
}
],
"practiceLocations": [
{
"address_1": "207 W Legion Rd",
"address_purpose": "LOCATION",
"city": "Brawley",
"state": "CA",
"postal_code": "922277780",
"country_code": "US",
"telephone_number": "760-351-3333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2615 Chester Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933012014",
"country_code": "US",
"telephone_number": "661-395-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "MELISSA",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2022-08-24",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA3889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.