Individual provider Active NPI

Patrick E Hickey, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1699746099
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024193670 Issued in VA
Practice address
1215 Corporate Cir SW
Roanoke, VA 24018-1400
Phone
(540) 404-2008
Fax
(540) 445-9582
NPI assigned
Feb 1, 2006
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3122672 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP3122672 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193670 VA Primary

Addresses

Primary practice location

1215 Corporate Cir SW
Roanoke, VA 24018-1400

Mailing address

1215 Corporate Cir SW Ste St200
Roanoke, VA 24018-1400
Phone (540) 404-2008

Other identifiers 1

IdentifierTypeStateIssuer
006742000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20051209000167 FL Practitioner - Nurse Practitioner 7012938806 Reassigns benefits to 1 organization
I20180626002848 AZ Practitioner - Nurse Practitioner 7012938806 Reassigns benefits to 1 organization
I20251105001982 VA Practitioner - Nurse Practitioner 7012938806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1215 Corporate Cir SW
Suite 200
Roanoke, VA 24018-1400
Phone (727) 504-7073

1701 N Douglas Ave
Douglas, AZ 85607-1019
Phone (520) 727-7091

2851 S Ave B
BLDG 4
Yuma, AZ 85364-7726
Phone (928) 376-0026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3122672FLMDFamily Nurse Practitioner
ARNP3122672FLMDPsychiatric/Mental Health Nurse Practitioner
0024193670VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Intervention Assciates, Inc CurrentSince Jun 11, 2018 Accepting new patients
Blue Ridge Integrative Wellness LLC CurrentSince Dec 20, 2025 Accepting new patients
Community Intervention Associates, Inc. Current Accepting new patients
Liberty Springs Psychiatry and Therapy Family CurrentSince Oct 15, 2025 Accepting new patients
Psychiatric Mental Health Associates LLC Family CurrentSince Nov 8, 2025 Accepting new patients
Community Intervention Associates, Inc. CurrentSince Jun 11, 2018 Accepting new patients
B. Ronald Lopez, M.D.P.a. CurrentSince Apr 12, 2023 Accepting new patients
Polmed PA PastSince Jan 1, 2008 Accepting new patients
Bayside Family Healthcare Clinic PastSince Sep 25, 2005 Accepting new patients
Community Intervention Associates Past Accepting new patients

Locations

1701 N Douglas Ave
Douglas, AZ 85607
Phone (520) 364-1286

32 Boulevard del Rey David
Nogales, AZ 85621
Phone (520) 281-9189

1516 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-5319

1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357

2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436

2843 Palm Harbor Blvd
Palm Harbor, FL 34683
Phone (727) 772-0038

512 Dryden Loop
Dryden, VA 24243
Phone (276) 212-4325

1215 Corporate Cir SW
Ste 200
Roanoke, VA 24018
Phone (727) 504-7073

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1699746099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 CORPORATE CIR SW STE ST200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181400",
            "telephone_number": "540-404-2008",
            "fax_number": "540-445-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CORPORATE CIR SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181400",
            "telephone_number": "540-404-2008",
            "fax_number": "540-445-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "PATRICK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3122672",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP3122672",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006742000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.