NPIMap

Individual provider Active NPI

Marie Anne Hickey, DNP

  • Family Nurse Practitioner
  • Hudson, OH
National Provider Identifier
1831182013
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
03089-NP Issued in OH
Practice address
5778 Darrow Rd
Suite D
Hudson, OH 44236-3808
Phone
(330) 655-2161
Fax
(330) 650-2116
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN259927 OH
Family Nurse Practitioner 363LF0000X 03089-NP OH Primary

Addresses

Primary practice location

5778 Darrow Rd
Suite D
Hudson, OH 44236-3808

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (330) 655-2161

Other identifiers 1

IdentifierTypeStateIssuer
2355035MedicaidOH

Other names 1

  • Marie Anne Vigue Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariehickey@uhps.allscripts.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000014 OH Practitioner - Nurse Practitioner 3274638705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

5778 Darrow Rd
Suite 201
Hudson, OH 44236-3808
Phone (330) 655-2161

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN259927OHMDRegistered Nurse
03089-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 10, 2014 Accepting new patients
Pioneer Physicians Network, Inc. Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

5778 Darrow Rd
#201
Hudson, OH 44236
Phone (330) 655-2161

Interoperability endpoints

  • Direct secure messaging: mhickey28004@ehrdirect.uhhospitals.org

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1831182013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "330-655-2161",
            "fax_number": "330-650-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5778 DARROW RD",
            "address_2": "SUITE D",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363808",
            "telephone_number": "330-655-2161",
            "fax_number": "330-650-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "MARIE",
        "middle_name": "ANNE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN259927",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "03089-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355035",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariehickey@uhps.allscripts.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5778 Darrow Rd",
            "address_2": "Suite D",
            "city": "Hudson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442363808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "VIGUE",
            "middle_name": "ANNE",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.