Individual provider Active NPI

Ana Bolena Tobar Hicks, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1366463614
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME89985 Issued in FL
Practice address
1510 Riverplace Blvd
Jacksonville, FL 32207-9017
Phone
(904) 346-0050
Fax
(904) 346-0080
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME89985 FL Primary

Addresses

Primary practice location

1510 Riverplace Blvd
Jacksonville, FL 32207-9017

Mailing address

5801 Postal Road, PO Box 818018
Cleveland, OH 44181-8018

Other practice location 1

4425 Merrimac Ave
Jacksonville, FL 32210-1850
Phone (904) 346-0050

Other practice location 2

4181 Southpoint Dr E Ste 300
Jacksonville, FL 32216-8083
Phone (904) 346-0050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916000302 FL Practitioner - Obstetrics/Gynecology 3870560733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

4181 Southpoint Dr E
Suite 300
Jacksonville, FL 32216-8083
Phone (904) 513-9195

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89985FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2010 Accepting new patients
Womencare PA Specialist Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

4425 Merrimac Ave
Jacksonville, FL 32210
Phone (904) 346-0050

836 Prudential Dr
Ste 1506
Jacksonville, FL 32207
Phone (904) 346-0050

4181 Southpoint Dr E
Ste 300
Jacksonville, FL 32216
Phone (904) 346-0050

1510 Riverplace Blvd
Jacksonville, FL 32207
Phone (800) 807-7090

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ana.hicks.1@2183.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.

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1366463614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 POSTAL ROAD, PO BOX 818018",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441818018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIVERPLACE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079017",
            "telephone_number": "904-346-0050",
            "fax_number": "904-346-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 Merrimac Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322101850",
            "country_code": "US",
            "telephone_number": "904-346-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4181 Southpoint Dr E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168083",
            "country_code": "US",
            "telephone_number": "904-346-0050",
            "fax_number": "904-346-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBAR HICKS",
        "first_name": "ANA",
        "middle_name": "BOLENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME89985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.