Michelle L Hicks, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71002881A Issued in IN

Practice address

401 W McGalliard Rd
Muncie, IN 47303-1828

Phone

(765) 288-6200

Fax

(765) 288-4131

NPI assigned

Mar 4, 2009

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

• Michelle L Musgrove Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime Skin Care Centers, LLCGroup PAC ID 1254306574, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.15 of 100Reported as group

Quality

92.3

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lifetime Skin Care Centers, LLC

  dba Lifetime Skin Care Centers

  • Dermatology Physician
  • Muncie, IN
  • NPI 1902861016
  Medicare reassignment Care Compare group NPD
• Open Door Health Services, Inc.

  dba Open Door Health Services Blackford County

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1912147943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MCGALLIARD RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031828",
            "telephone_number": "765-288-6200",
            "fax_number": "765-288-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MCGALLIARD RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031828",
            "telephone_number": "765-288-6200",
            "fax_number": "765-288-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002881A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MUSGROVE",
            "middle_name": "L",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Hess
• Charles Reilly Hester, CAA
• James Hiatt
• Audrey Hicks, LCSW
• Levi Hicks, MSAT
• Nicole Higgins
• Russel J Higgins, MA
• Alyssa Lynn Hiland, DO
• Taylor Andrew Hiland, DO, MS
• Kaylee Hilbert

• Nurse Practitioner in Muncie, IN
• Providers in Muncie, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.