Individual provider Active NPI

Christine Michelle Hicks, ANP-C

  • Adult Health Nurse Practitioner
  • Bedford, VA
National Provider Identifier
1912398884
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024177743 Issued in VA
Practice address
1380 American Way Unit D
Bedford, VA 24523-2940
Phone
(540) 583-7114
Fax
(540) 583-7112
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024177743 VA Primary
Adult Health Nurse Practitioner 363LA2200X R130205 MD

Addresses

Primary practice location

1380 American Way Unit D
Bedford, VA 24523-2940

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

101 Candlewood Ct
Lynchburg, VA 24502-2654
Phone (434) 363-4190

Other names 1

  • Christine Michelle Wood Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Christine.Hicks@forefrontdermatology.emadirect.md
Direct Messaging Address Christine.Hicks@forefrontdermatology.emadirect.md
Direct Messaging Address Christine.Hicks@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190910002682 VA Practitioner - Nurse Practitioner 0345551073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

101 Candlewood CT
Lynchburg, VA 24502-2654
Phone (434) 363-4190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177743VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Nov 1, 2021 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Nov 1, 2021 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Martha L Wilson MD PA Past Accepting new patients

Locations

300 Enterprise Dr
Ste E
Forest, VA 24551
Phone (434) 316-7007

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

101 Candlewood Ct
Lynchburg, VA 24502
Phone (434) 363-4190

3459 Old Halifax Rd
Ste I
South Boston, VA 24592
Phone (434) 549-0383

405 Oak Ln
South Boston, VA 24592
Phone (434) 549-0383

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

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.

Hospital & facility affiliations 7

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1912398884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 AMERICAN WAY UNIT D",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232940",
            "telephone_number": "540-583-7114",
            "fax_number": "540-583-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Candlewood Ct",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022654",
            "country_code": "US",
            "telephone_number": "434-363-4190",
            "fax_number": "434-363-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024177743",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R130205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christine.Hicks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1380 AMERICAN WAY UNIT D",
            "city": "BEDFORD",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245232940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christine.Hicks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "101 Candlewood Ct",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245022654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christine.Hicks@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "300 Enterprise Dr Ste E",
            "city": "Forest",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245512732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "WOOD",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.