Active NPI
Rebecca Lauren Hicks, APRN, FNP-BC
- Family Nurse Practitioner
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 069618-23
- Practice address
- 6 Tsienneto Rd Ste 100
Derry, NH 03038-1595 - Phone
- (603) 537-1300
- NPI assigned
- May 6, 2020
- 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 | 069618-21 | NH | |
| Family Nurse Practitioner | 363LF0000X | 069618-23 | NH | Primary |
Addresses
Primary practice location
6 Tsienneto Rd Ste 100
Derry, NH 03038-1595
Mailing address
6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300
Other practice location 1
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 662-7520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916000213 | NH | Practitioner - Nurse Practitioner | 5395159859 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
14 A Tsienneto Rd
Derry, NH 03038-1505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069618-21 | NH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derry Medical Center, PA | Current | Accepting new patients |
Locations
160 S River Rd
Bedford, NH 03110
Phone (603) 668-3509
14B Tsienneto Rd
Derry, NH 03038
Phone (603) 537-1317
14 Tsienneto Rd
Bldg B
Derry, NH 03038
6 Tsienneto Rd
Ste 100
Derry, NH 03038
6 Buttrick Rd
Ste 102
Londonderry, NH 03053
Phone (603) 537-1308
Organizations & group practices 1
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": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1346861895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BUTTRICK RD STE 102",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533417",
"telephone_number": "603-537-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TSIENNETO RD STE 100",
"city": "DERRY",
"state": "NH",
"postal_code": "030381595",
"telephone_number": "603-537-1300"
}
],
"practiceLocations": [
{
"address_1": "1 Elliot Way",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031033502",
"country_code": "US",
"telephone_number": "603-662-7520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "REBECCA",
"middle_name": "LAUREN",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NH",
"license": "069618-21",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "069618-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.