Active NPI
Nicole Denise Hickson, NP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R204896
- Practice address
- 1120 N Charles St Ste 400
Baltimore, MD 21201-5594 - Phone
- (443) 739-3814
- Fax
- (833) 975-0904
- NPI assigned
- Oct 29, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R204896 | MD | Primary |
Addresses
Primary practice location
1120 N Charles St Ste 400
Baltimore, MD 21201-5594
Mailing address
1120 N Charles St Ste 400
Baltimore, MD 21201-5594
Phone (443) 739-3889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 666351600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1120 N Charles St
Suite 400
Baltimore, MD 21201-5594
Phone (443) 760-0564
Hospital & facility affiliations
- Homecentris Home Health II
- Home Call, Inc
- Homecare Maryland, LLC
- Homecall
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R204896 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Access P.C. | Current | Accepting new patients | |
| Pathway to Wellness Healthcare Center | Family | Current | Accepting new patients |
| Manbir Takhar, P.C. | Current | Accepting new patients | |
| Tru Health Group, PC | Current | Accepting new patients |
Locations
1120 N Charles St
Ste 400
Baltimore, MD 21201
Phone (443) 271-9907
11000 Baltimore Ave
Ste 104
Beltsville, MD 20705
12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192
12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260
12321 Middlebrook Rd
Germantown, MD 20874
Phone (301) 741-3814
Interoperability endpoints
- https://api.platform.athenahealth.com/22883/brand/1/csg/1/fhir/r4
- nicole.hickson.1@22883.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1265040380
-
- Primary Care Clinic/Center
- Germantown, MD
- NPI 1457322505
-
- Urgent Care Clinic/Center
- Germantown, MD
- NPI 1194471946
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baltimore, MD
- NPI 1295820439
-
- Home Health Agency
- Westminster, MD
- NPI 1053406181
-
- Home Health Agency
- Owings Mills, MD
- NPI 1144400805
-
- Home Health Agency
- Owings Mills, MD
- NPI 1487113239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1073157459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST STE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015594",
"telephone_number": "443-739-3889",
"fax_number": "833-975-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST STE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015594",
"telephone_number": "443-739-3814",
"fax_number": "833-975-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKSON",
"first_name": "NICOLE",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R204896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "666351600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.