Cheryl Hicks

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014016 Issued in IL

Practice address

6 Ferrell Rd
Rosiclare, IL 62982

Phone

(618) 285-6634

NPI assigned

Apr 20, 2016

Last updated

Nov 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hardin County General HospitalGroup PAC ID 2365400272, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hardin County General Hospital & Clinic Hospital, Rosiclare, IL, CCN 141328
• Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hardin County General Hospital

  • Critical Access Hospital
  • Rosiclare, IL
  • NPI 1538165600
  Medicare reassignment NPD
• Hardin County General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Rosiclare, IL
  • NPI 1770666893
  Medicare reassignment NPD

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

• Hardin County General Hospital

  • Critical Access Hospital
  • Rosiclare, IL
  • NPI 1538165600
  Care Compare affiliation
• Harrisburg Medical Center Inc

  • General Acute Care Hospital
  • Harrisburg, IL
  • NPI 1073580130
  Care Compare affiliation

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1588018188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FERRELL RD",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "629821052",
            "telephone_number": "618-285-6634",
            "fax_number": "618-285-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FERRELL RD",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "62982",
            "telephone_number": "618-285-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardin County General Hospital
• Hardin County General Hospital (Hardin County General Hospital Ambulance)
• Hardin County General Hospital
• Hardin County General Hospital Clinic
• Hardin County Pharmacy LLC
• Angela Brooke Kaylor, NP
• Megan Leahy
• Petersen Health Network, LLC (Whispering Oaks)
• Della Darlene Pugh, R.N.
• Rosiclare Hco, LLC

• Family Nurse Practitioner in Rosiclare, IL
• Providers in Rosiclare, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.

Verify at the official NPI Registry.