Jessica Tilley Hicks, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

253623 Issued in NC

Practice address

632 Springdale Rd
Statesville, NC 28677-3432

Phone

(704) 657-6367

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Suzanne Tilley Other name

Medicare fee-for-service enrollment

Enrolled in NC, PA, MD, TN, KY, WI, TX, NJ, FL, AL, OH, IL, MN, VA, MO, IA, MI, NY, ME, CT, OK, WV, GA, IN, CA, SC, RI, CO, NM, NH, SD31 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 31

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Caringathome, LLCGroup PAC ID 3577971266, 7 clinicians

Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians

Daniel Funsch Jr MD Professional CorporationGroup PAC ID 3870028046, 13 clinicians

Careathome Medical Practice KyGroup PAC ID 6800202193, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Belen Meadows Healthcare and Rehabilitation Center Nursing home, Belen, NM, CCN 325068
• Sandy River Center Nursing home, Farmington, ME, CCN 205069
• River City Center Nursing home, Decatur, AL, CCN 015113
• Cedar Ridge Center Nursing home, Skowhegan, ME, CCN 205060
• Dunbar Center Nursing home, Dunbar, WV, CCN 515066

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 43)

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Careathome Medical Practice Ky

  • Family Medicine Physician
  • New York, NY
  • NPI 1467040345

  IA, IL, IN, MI, OH, TX

  Medicare reassignment Care Compare group NPD
• Caringathome, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1912595828

  Family

  Medicare reassignment Care Compare group NPD
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  FL, PA

  Medicare reassignment Care Compare group NPD
• Daniel Funsch Jr, M.D., Professional Corporation

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1376389163

  CA

  Medicare reassignment Care Compare group NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  AL, CT, IL, IN, ME, MO, NC, NH, NM, NY, OH, PA, RI, SD, VA, WV

  Medicare reassignment Care Compare group NPD
• Lumina Care Medical NJ LLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1851118319

  NJ

  Medicare reassignment Care Compare group NPD
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  AL, CT, FL, IL, KY, MD, ME, MO, NC, NH, OH, PA, RI, TN, VA, WV

  Medicare reassignment Care Compare group
• Visavis Health Care Medical Group of NC PLLC

  • Family Medicine Physician
  • Mount Olive, NC
  • NPI 1861274607
  Medicare reassignment NPD
• Careathome Medical Practice NJ

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1659974301
  Medicare reassignment NPD
• Dr Medical Services PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1053012401

  FL, KY, NJ

  Medicare reassignment NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  AL, CT, FL, IL, IN, MD, ME, MO, NC, NH, NJ, OH, PA, RI, SD, VA, WV

  Medicare reassignment NPD
• Dr Vezza Medical Services PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1720560741
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Belen Meadows Healthcare and Rehabilitation Center, LLC

  dba Belen Meadows Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Belen, NM
  • NPI 1528250685

  Nursing home

  Care Compare affiliation
• Farmington Operations, LLC

  dba Sandy River Center

  • Skilled Nursing Facility
  • Farmington, ME
  • NPI 1881756120

  Nursing home

  Care Compare affiliation
• Skowhegan SNF Operations, LLC

  dba Cedar Ridge Center

  • Skilled Nursing Facility
  • Skowhegan, ME
  • NPI 1194887687

  Nursing home

  Care Compare affiliation
• Sunbridge Dunbar Health Care LLC

  dba Dunbar Center

  • Skilled Nursing Facility
  • Dunbar, WV
  • NPI 1114974649

  Nursing home

  Care Compare affiliation
• Sunbridge Healthcare LLC

  dba River City Center

  • Skilled Nursing Facility
  • Decatur, AL
  • NPI 1760432652

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1821675158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 SPRINGDALE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773432",
            "telephone_number": "704-657-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 SPRINGDALE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773432",
            "telephone_number": "704-657-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JESSICA",
        "middle_name": "TILLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "253623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TILLEY",
            "middle_name": "SUZANNE",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heritage Place Business LLC
• Heather Lee Herrig, LCMHCS, LCAS
• Thomas Duke Hesson, RPH
• Dana Rice Hicks, LCMHC
• Harlan M Hicks, M.D.
• Darleatha Hiers, FNP
• Kindle Kay Higgins, MS, LPC
• Alyssa Hill
• Ashley Carol Hill, FNP
• Erika Katherine Hill, M.D.

• Family Nurse Practitioner in Statesville, NC
• Providers in Statesville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.