Individual provider Active NPI

Audrey Erin Hice, NP

  • Family Nurse Practitioner
  • Warsaw, IN
National Provider Identifier
1710437520
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006711A Issued in IN
Practice address
1500 Provident Dr
Warsaw, IN 46580-3377
Phone
(574) 372-7637
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 RN261031 GA
Family Nurse Practitioner 363LF0000X APN0000021668 TN
Family Nurse Practitioner 363LF0000X 71006711A IN Primary

Addresses

Primary practice location

1500 Provident Dr
Warsaw, IN 46580-3377

Mailing address

27430 N Wales Rd
Elkmont, AL 35620-4840
Phone (256) 206-6065

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address audrey.hice@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000670 TN Practitioner - Nurse Practitioner 3375825656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

1802 N Jackson St
Suite 850
Tullahoma, TN 37388-8237
Phone (931) 563-5501

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

650 S Jefferson Ave
Cookeville, TN 38501-4022
Phone (931) 303-0958

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN261031GAMDFamily Nurse Practitioner
71006711AINMDFamily Nurse Practitioner
APN0000021668TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Mar 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Mar 1, 2024 Accepting new patients
App of Tennessee Ed, PLLC CurrentSince Feb 15, 2023 Accepting new patients
Putnam Emergency Physicians, PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

650 S Jefferson Ave
Ste 101
Cookeville, TN 38501
Phone (931) 303-0958

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

455 Chickamauga Dr
Ste 101
Dayton, TN 37321
Phone (423) 428-9156

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

2412 Lebanon Pike
Nashville, TN 37214
Phone (615) 647-3578

625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460

2006 Memorial Blvd
Ste 101
Springfield, TN 37172
Phone (615) 380-8411

Organizations & group practices 4

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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1710437520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27430 N WALES RD",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356204840",
            "telephone_number": "256-206-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENT DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803377",
            "telephone_number": "574-372-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICE",
        "first_name": "AUDREY",
        "middle_name": "ERIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN261031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021668",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006711A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.hice@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1500 Provident Dr",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465803377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.