Individual provider Active NPI

Michelle Hicks, D.O.

  • Emergency Medicine Physician
  • Augusta, ME
National Provider Identifier
1689813628
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q0648 Issued in TX
Practice address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone
(207) 248-5000
NPI assigned
Feb 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO3834 ME
Emergency Medicine Physician 207P00000X 036126255 IL
Emergency Medicine Physician 207P00000X Q0648 TX Primary

Addresses

Primary practice location

35 Medical Center Pkwy
Augusta, ME 04330-8160

Mailing address

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (602) 570-7859

Other practice location 1

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (214) 320-7190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140812000436 TX Practitioner - Emergency Medicine 9234306861 Reassigns benefits to 4 organizations
I20240925001292 ME Practitioner - Emergency Medicine 9234306861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

112 Sanford Rd
Wells, ME 04090-5533

114 Sanford Rd
Myhealth Wells
Wells, ME 04090-5533
Phone (207) 646-5211

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715

Hospital & facility affiliations

  • Vna Hospice, Dallas, TX, CCN 451506
  • York Hospital Hospital, York, ME, CCN 200020

Merit-based Incentive Payment System (MIPS)

Final score
98.13 of 100Reported as group
Quality
90.84
Improvement activities
40
Cost
77.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3834MEMDEmergency Medicine Physician
Q0648TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Feb 9, 2025 Accepting new patients
Southwest General Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Mainegeneral Medical Center CurrentSince Jun 16, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 1, 2018 Accepting new patients
Ies Central Texas PLLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Jun 16, 2025 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
York Hospital CurrentSince Jul 18, 2024 Accepting new patients
C3Erow, LLC Past Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Emergency Medicine Past Accepting new patients
Midway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

149 North St
Waterville, ME 04901
Phone (207) 622-1959

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1689813628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492433",
            "telephone_number": "602-570-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-248-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N Galloway Ave",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492433",
            "country_code": "US",
            "telephone_number": "214-320-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO3834",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036126255",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q0648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.