Individual provider Active NPI

Erin Hicks, FNP-BC

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1912453200
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006354A Issued in IN
Practice address
1861 Sturdy Rd
Valparaiso, IN 46383-8017
Phone
(219) 548-0360
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006354A IN Primary

Addresses

Primary practice location

1861 Sturdy Rd
Valparaiso, IN 46383-8017

Mailing address

183 Shenandoah CT
Kouts, IN 46347-9547
Phone (219) 713-3876

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160929001620 IN Practitioner - Nurse Practitioner 1759678089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

183 Shenandoah CT
Kouts, IN 46347-9547

5963 Exchange Dr
Suite 114
Sykesville, MD 21784-9256

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC CurrentSince Jun 25, 2022 Accepting new patients
Dermatology and Plastic Surgery Associates, S.C. PastSince Apr 3, 2017 Accepting new patients
Pinnacle Dermatology, SC Past Accepting new patients
Applegarth Dermatology PC PastSince Oct 3, 2016 Accepting new patients

Locations

275 US Highway 30
Ste 225
Dyer, IN 46311
Phone (219) 865-8800

275 Joliet St
Ste 210
Dyer, IN 46311
Phone (219) 865-8800

311 E 89th Ave
Merrillville, IN 46410
Phone (219) 769-6639

833 W Lincoln Hwy
Ste 205W
Schererville, IN 46375
Phone (219) 865-8800

3501 Enterprise Ave
Valparaiso, IN 46383

1703 Calumet Ave
Valparaiso, IN 46383
Phone (219) 242-8415

1703 Calumet Ave
Ste A
Valparaiso, IN 46383

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1912453200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SHENANDOAH CT",
            "city": "KOUTS",
            "state": "IN",
            "postal_code": "463479547",
            "telephone_number": "219-713-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838017",
            "telephone_number": "219-548-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ERIN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006354A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.