Pathway to Wellness Healthcare Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PATHWAY TO WELLNESS HEALTHCARE CENTER

Practice address

4200 Edmondson Ave Ste 205
Baltimore, MD 21229-1614

Phone

(443) 739-3814

Fax

(240) 348-2962

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Denise Hickson, CRNPNPI 1073157459

Title

Family Nurse Practitioner

Phone

(443) 739-3814

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22883/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Denise Hickson, NP

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1073157459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1265040380",
    "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": "443-739-3814",
            "fax_number": "833-975-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291614",
            "telephone_number": "443-739-3814",
            "fax_number": "240-348-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Charles St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015594",
            "country_code": "US",
            "telephone_number": "443-739-3814",
            "fax_number": "833-975-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAY TO WELLNESS HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "HICKSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-739-3814",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "666351600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathfinder Health Care Services
• Pathology Associates Laboratories, P.C.
• Pathway Healthcare Inc
• Pathway Healthcare Inc
• Pathway Renewal Center LLC
• Pathways Behavioral Health Consulting, LLC
• Patience Health Care
• Patient First
• Patient First Maryland Medical Group PLLC
• Patient First Maryland Medical Group PLLC

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.