Individual provider Active NPI

Anne Hickey

  • Women's Health Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1780151548
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421368 Issued in NY
Practice address
17 Noxon St
Poughkeepsie, NY 12601-4101
Phone
(845) 820-1294
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421368 NY Primary

Addresses

Primary practice location

17 Noxon St
Poughkeepsie, NY 12601-4101

Mailing address

17 Noxon St
Poughkeepsie, NY 12601-4101
Phone (845) 820-1294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181126001823 NY Practitioner - Nurse Practitioner 0749534089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Planned Parenthood of Greater New York IncGroup PAC ID 7810293297, 34 clinicians

Practice addresses (Care Compare)

136 Lake St
Suite 11
Newburgh, NY 12550-5245
Phone (516) 750-2500

2141 45TH Rd
Long Island City, NY 11101-4706
Phone (516) 750-2500

44 Court St
Brooklyn, NY 11201-4405
Phone (718) 852-6879

543 Bay Rd
Queensbury, NY 12804-1441
Phone (516) 750-2500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Mid-Hudson Valley Inc CurrentSince Oct 30, 2018 Accepting new patients
Planned Parenthood of Greater New York Inc CurrentSince Jan 19, 2020 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Locations

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

7 Coates Dr
Ste 4
Goshen, NY 10924
Phone (845) 280-0608

21 Grand St
Kingston, NY 12401
Phone (845) 338-0840

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

3125 US Route 9W
New Windsor, NY 12553
Phone (518) 691-0732

136 Lake St
Ste 11
Newburgh, NY 12550
Phone (845) 471-1530

17 Noxon St
Poughkeepsie, NY 12601
Phone (845) 471-1530

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1780151548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NOXON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014101",
            "telephone_number": "845-820-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NOXON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014101",
            "telephone_number": "845-820-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.