Active NPI
Andrea Nicole Maslanka Hicks, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5003934
- Practice address
- 125 Queens Rd Ste 200
Charlotte, NC 28204-3578 - Phone
- (704) 343-9800
- Fax
- (704) 347-2011
- NPI assigned
- Apr 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5003934 | NC | Primary |
Addresses
Primary practice location
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800
Other practice location 1
1718 E 4th St
Suite 501
Charlotte, NC 28204-3261
Phone (704) 887-7563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005395 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahicks34995@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10030 Gilead Rd
Suite 201
Huntersville, NC 28078-7545
Phone (704) 887-4530
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5003934 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients |
Locations
125 Queens Rd
Ste 200
Charlotte, NC 28204
1718 E 4th St
Ste 501
Charlotte, NC 28204
Phone (704) 868-3256
125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043
8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- ahicks34995@direct.novanthealth.org
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1407150816
-
- Cardiovascular Disease Physician
- Matthews, NC
- NPI 1477073641
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1649442492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043578",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
}
],
"practiceLocations": [
{
"address_1": "1718 E 4th St",
"address_2": "Suite 501",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043261",
"country_code": "US",
"telephone_number": "704-887-7563",
"fax_number": "704-887-7570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "ANDREA",
"middle_name": "NICOLE MASLANKA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5003934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005395",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahicks34995@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1718 E 4th St",
"address_2": "Suite 501",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043261",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.