NPIMap

Individual provider Active NPI

Victoria Wright Hicks, PA-C

  • Physician Assistant
  • Flemingsburg, KY
National Provider Identifier
1316347701
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1956 Issued in KY
Practice address
732 Elizaville Ave
Flemingsburg, KY 41041-1139
Phone
(606) 849-2323
Fax
(606) 849-2025
NPI assigned
Sep 4, 2014
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC309 KY
Physician Assistant 363A00000X PA1956 KY Primary

Addresses

Primary practice location

732 Elizaville Ave
Flemingsburg, KY 41041-1139

Mailing address

PO Box 344
732 Elizaville Rd
Flemingsburg, KY 41041-0344
Phone (606) 849-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020001720 KY Practitioner - Physician Assistant 3971724758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 Main St
Sharpsburg, KY 40374-9115
Phone (606) 247-5006

932 Elizaville Ave
Suite 200
Flemingsburg, KY 41041-9209
Phone (606) 849-3374

935 Elizabethville Ave
Flemingsburg, KY 41041-9210
Phone (606) 849-2323

991 Medical Dr
Suite 207
Maysville, KY 41056-8728
Phone (606) 759-4852

991 Medical Park Dr
Maysville, KY 41056-8728

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowview Physician Practice LLC CurrentSince Oct 1, 2016 Accepting new patients
Meadowview Physician Practice LLC CurrentSince Oct 1, 2016 Accepting new patients
Meadowview Physician Practice LLC Past Accepting new patients

Locations

732 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 849-2323

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4
  • Direct secure messaging: victoria.hicks.1@19475.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1316347701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "address_2": "732 ELIZAVILLE RD",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410410344",
            "telephone_number": "606-849-2323",
            "fax_number": "606-849-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 ELIZAVILLE AVE",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410411139",
            "telephone_number": "606-849-2323",
            "fax_number": "606-849-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "VICTORIA",
        "middle_name": "WRIGHT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2021-10-28",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC309",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemingsburg, KY

Sources for this page

Verify at the official NPI Registry.