Kimberly Sue-Hicks Donze, RN/NP
Individual provider Active NPI Family Nurse Practitioner · Carthage, NC
NPI 1154675866 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1154675866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5011848 (NC)
- Practice address
- 304 E Saunders St
Carthage, NC 28327-9343 - Phone
- (109) 473-0009
- Fax
- (910) 947-3035
- NPI assigned
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- FHPG LLC
Practice addresses (Care Compare)
7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 79.14
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 80.32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190723000946 | NC | Practitioner - Nurse Practitioner | 5991959439 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011848 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHPG, LLC | Family Medicine | Current |
Accepting new patients |
| FHPG, LLC | Family Medicine | Current |
Accepting new patients |
| FHPG, LLC | Family Medicine | Current | Accepting new patients |
| FHPG, LLC | Family Medicine | Past | Accepting new patients |
Locations
304 E Saunders St
Carthage, NC 28327
Phone (910) 947-3000
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN261013 | MA | |
| Family Nurse Practitioner | 363LF0000X | 5011848 | NC | Yes |
Addresses
Primary practice location
304 E Saunders St
Carthage, NC 28327-9343
Mailing address
PO Box 40
Southbridge, MA 01550-0040
Phone (508) 909-7799
Other providers in Carthage, NC
- Tifane S Chambers
- Charles M. Guizzotti, D.D.S., P.a.
- Katie Irene Chisolm
- County of Moore
- County of Moore
- Drug Free Moore County Inc.
- FHPG, LLC
- FHPG, LLC
- FHPG, LLC
- Luz Florio
All providers in Carthage, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.