NPIMap

Individual provider Active NPI

Jessica R Hicks, APRN

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1326308727
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007381 Issued in KY
Practice address
613 23Rd St Ste G10
Ashland, KY 41101-2886
Phone
(606) 329-1185
Fax
(606) 324-0585
NPI assigned
May 21, 2012
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007381 KY Primary

Addresses

Primary practice location

613 23Rd St Ste G10
Ashland, KY 41101-2886

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130110000352 KY Practitioner - Nurse Practitioner 9436302056 Reassigns benefits to 2 organizations
I20140825001214 WV Practitioner - Nurse Practitioner 9436302056

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

613 23Rd St
Suite G10
Ashland, KY 41101-2886
Phone (606) 408-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Oct 22, 2012 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 12, 2016 Accepting new patients
Ashland Hospital Corporation CurrentSince Oct 22, 2012 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 12, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Ashland Hospital Corporation Family Past Accepting new patients
Kings Daughters Medical Specialties Inc Past Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste G10
Ashland, KY 41101
Phone (606) 329-1997

2145 Highway 2565
Louisa, KY 41230
Phone (304) 526-1796

1729 Kinneys Ln
Ste 203
Portsmouth, OH 45662
Phone (606) 324-7351

Interoperability endpoints

  • Direct secure messaging: jhicks5961@direct.kdhealth.us

Organizations & group practices 8

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 1

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1326308727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE G10",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012886",
            "telephone_number": "606-329-1185",
            "fax_number": "606-324-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.