Active NPI
Diana Hickey, NP
- Family Nurse Practitioner
- Bad Axe, MI
National Provider Identifier
1184272528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704304099
- Practice address
- 876 N Van Dyke Rd
Bad Axe, MI 48413-9016 - Phone
- (989) 623-0137
- Fax
- (989) 921-4977
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704304099 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704304099 | MI | Primary |
Addresses
Primary practice location
876 N Van Dyke Rd
Bad Axe, MI 48413-9016
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | diana.hickey@direct.medfusion.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Saginaw Valley Medical College - NLG, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Bay Health Centers | Current | Accepting new patients | |
| Great Lakes Bay Health Centers | Current | Accepting new patients |
Locations
876 N Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 331-0555
501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000
501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000
Interoperability endpoints
- diana.hickey@direct.medfusion.com
- diana.hickey.1@27771.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
-
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
-
- Critical Access Hospital
- Bad Axe, MI
- NPI 1518991744
-
- Critical Access Hospital
- Pigeon, MI
- NPI 1437102993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1184272528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071203",
"telephone_number": "989-759-6464",
"fax_number": "989-399-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 N VAN DYKE RD",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484139016",
"telephone_number": "989-623-0137",
"fax_number": "989-921-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "DIANA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704304099",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704304099",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "diana.hickey@direct.medfusion.com",
"affiliation": "N",
"address_1": "876 N Van Dyke Rd",
"city": "Bad Axe",
"state": "MI",
"country_code": "US",
"postal_code": "484139016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.