NPIMap

Individual provider Active NPI

Robin M Hicks, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Harrisburg, PA
National Provider Identifier
1922413707
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
OS018200 Issued in PA
Practice address
4310 Londonderry Rd Ste 109
Harrisburg, PA 17109-5329
Phone
(717) 988-0611
Fax
(717) 231-8778
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X OS018200 PA Primary
Family Medicine Physician 207Q00000X OT015726 PA

Addresses

Primary practice location

4310 Londonderry Rd Ste 109
Harrisburg, PA 17109-5329

Mailing address

4310 Londonderry Rd Ste 109
Harrisburg, PA 17109-5329
Phone (717) 988-0611

Other identifiers 1

IdentifierTypeStateIssuer
103142764MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhicks84080@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161006002202 PA Practitioner - Hospice/Palliative CarePractitioner - Family Practice 5890083810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

4310 Londonderry Rd
Harrisburg, PA 17109-5300
Phone (717) 988-0611

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT015726PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Family Medicine CurrentSince Sep 4, 2018 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 4, 2018 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4310 Londonderry Rd
Ste 109
Harrisburg, PA 17109
Phone (717) 614-4420

4310 Londonderry Rd
Ste 2
Harrisburg, PA 17109
Phone (717) 657-7505

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

2025 Technology Pkwy
Ste 207
Mechanicsburg, PA 17050
Phone (717) 791-2560

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1922413707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 109",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-988-0611",
            "fax_number": "717-231-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 109",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-988-0611",
            "fax_number": "717-231-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ROBIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "OS018200",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT015726",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103142764",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhicks84080@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4310 Londonderry Rd Ste 109",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.