Individual provider Active NPI

Christine A Hickey, FNP-C

  • Family Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1659838464
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01078700 Issued in NJ
Practice address
415 W Landis Ave
Vineland, NJ 08360-8135
Phone
(856) 696-5340
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR22115800 NJ
Family Nurse Practitioner 363LF0000X 26NJ01078700 NJ Primary

Addresses

Primary practice location

415 W Landis Ave
Vineland, NJ 08360-8135

Mailing address

1501 Old Black Horse Pike Apt Z10
Blackwood, NJ 08012-4921
Phone (765) 760-5336

Other identifiers 1

IdentifierTypeStateIssuer
300025601MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL chickey@NJhealthteam.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190509000692 IN Practitioner - Nurse Practitioner 2163764341 Reassigns benefits to 1 organization
I20211111001151 NJ Practitioner - Nurse Practitioner 2163764341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Cuidado Casero Hospice LLCGroup PAC ID 1355492703, 8 clinicians

Practice addresses (Care Compare)

415 W Landis Ave
Suite 100
Vineland, NJ 08360-8124
Phone (856) 696-5340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR22115800NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ PC CurrentSince Jan 4, 2023 Accepting new patients
Arnett Clinic, LLC CurrentSince May 1, 2019 Accepting new patients
Pulse Vascular, LLC CurrentSince Oct 1, 2021 Accepting new patients
Arnett Clinic, LLC CurrentSince May 1, 2019 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
New Jersey Cuidado Casero Hospice LLC CurrentSince Feb 15, 2025 Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

2600 Greenbush St
Lafayette, IN 47904

1 Walter Scholer Dr
Lafayette, IN 47909

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

994 W Sherman Ave
Bldg 1
Vineland, NJ 08360
Phone (856) 696-0900

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

415 W Landis Ave
Ste 100
Vineland, NJ 08360
Phone (856) 696-5340

Organizations & group practices 6

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1659838464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT Z10",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124921",
            "telephone_number": "765-760-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608135",
            "telephone_number": "856-696-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR22115800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01078700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025601",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chickey@NJhealthteam.com",
            "affiliation": "N",
            "endpointDescription": "professional",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "415 W Landis Ave",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083608135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.