Active NPI
Amanda Marie Hicks, NP
- Acute Care Nurse Practitioner
- Zanesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- LE-00022023
- Practice address
- 2951 Maple Ave
Zanesville, OH 43701-1406 - Phone
- (740) 454-5000
- NPI assigned
- Dec 18, 2017
- Last updated
- Dec 18, 2017
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | LE-00022023 | OH | Primary |
Addresses
Primary practice location
2951 Maple Ave
Zanesville, OH 43701-1406
Mailing address
10530 Township Road 49
Mount Perry, OH 43760-9729
Phone (740) 504-7052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Zanesville, OH 43701
Phone (740) 450-3400
3237 Maple Ave
Zanesville, OH 43701-1312
6901 Glenn Hwy
Cambridge, OH 43725-8685
Phone (740) 450-3400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE-00022023 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Home Primary Care Center | Current | Accepting new patients | |
| Physicians Group of Southeastern Ohio Inc | Current | Accepting new patients | |
| Nephrology Consultants of Southeastern Ohio, Inc. | Current | Accepting new patients |
Locations
6901 Glenn Hwy
Cambridge, OH 43725
Phone (740) 450-3400
1523 Walnut St
Coshocton, OH 43812
Phone (740) 255-5189
3089 Maple Ave
Zanesville, OH 43701
Phone (740) 297-6739
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Nephrology Physician
- Zanesville, OH
- NPI 1730284563
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1528177730
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1578870911
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Outpatient Pharmacy
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1477150951
Hospital
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
dba Genesis Outpatient Pharmacy 1C
- Community/Retail Pharmacy
- Coshocton, OH
- NPI 1710839436
Hospital
-
- General Acute Care Hospital
- Coshocton, OH
- NPI 1013468172
-
- Rural Acute Care Hospital
- Cambridge, OH
- NPI 1346247350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1659887388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10530 TOWNSHIP ROAD 49",
"city": "MOUNT PERRY",
"state": "OH",
"postal_code": "437609729",
"telephone_number": "740-504-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011406",
"telephone_number": "740-454-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "LE-00022023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.