Individual provider Active NPI

Sandra N Hickey, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1235498916
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
194123 Issued in MA
Practice address
99 Conifer Hill Dr
Danvers, MA 01923-1193
Phone
(978) 774-2555
Fax
(978) 774-8715
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 194123 MA Primary

Addresses

Primary practice location

99 Conifer Hill Dr
Danvers, MA 01923-1193

Mailing address

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Other practice location 1

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Other practice location 2

255 Grapevine Rd
Wenham, MA 01984-1813
Phone (978) 867-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000107 MA Practitioner - Nurse Practitioner 6507802543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middleton Family Medicine Urgent Care LLCGroup PAC ID 0042533218, 74 clinicians

Practice addresses (Care Compare)

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
194123MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allaracare Medical Group - Newburyport, LLC CurrentSince Mar 5, 2025 Accepting new patients
Middleton Family Medicine Urgent Care, LLC CurrentSince Mar 5, 2025 Accepting new patients

Locations

376 Hale St
Beverly, MA 01915
Phone (978) 232-2104

900 Cummings Ctr
Ste 207T
Beverly, MA 01915
Phone (978) 774-2555

99 Conifer Hill Dr
Danvers, MA 01923
Phone (978) 774-2555

147 S Main St
Middleton, MA 01949
Phone (978) 774-2555

255 Grapevine Rd
Wenham, MA 01984
Phone (978) 524-0000

Interoperability endpoints

  • Direct secure messaging: sandra.hickey.1@8561.direct.athenahealth.com
  • Direct secure messaging: sandra.hickey.1@9808.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.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1235498916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492446",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CONIFER HILL DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231193",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 S Main St",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019492446",
            "country_code": "US",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Grapevine Rd",
            "address_purpose": "LOCATION",
            "city": "Wenham",
            "state": "MA",
            "postal_code": "019841813",
            "country_code": "US",
            "telephone_number": "978-867-4300",
            "fax_number": "978-867-4676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "SANDRA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "194123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.