Vicki R. Hughes, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002289 Issued in IA

Practice address

2162 W Kimberly Rd
Davenport, IA 52806-5368

Phone

(563) 388-7000

Fax

(563) 388-7001

NPI assigned

Sep 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vicki.hughes.1@11922.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11922/brand/1/csg/1/fhir/r4

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.

• Hammond Henry Dist Hospital

  • Critical Access Hospital
  • Geneseo, IL
  • NPI 1457344491
  Medicare reassignment
• Amana Medical Care, Inc.

  • Urgent Care Clinic/Center
  • Davenport, IA
  • NPI 1306235072
  NPD
• Community Health Care, Inc.

  • Clinical Medical Laboratory
  • Davenport, IA
  • NPI 1649461310
  NPD
• Hammond Henry Dist Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Geneseo, IL
  • NPI 1740397447
  NPD
• Kidney Specialists, PC

  • Nephrology Physician
  • Bettendorf, IA
  • NPI 1598935488
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1952397945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 W KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065368",
            "telephone_number": "563-388-7000",
            "fax_number": "563-388-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 W KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065368",
            "telephone_number": "563-388-7000",
            "fax_number": "563-388-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "VICKI",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002289",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085000311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1306235072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Packy A Huettman Jr., DO
• Elisa Gay Huff, PH.D.
• Taelor R Hufford
• Arielle Patrice Huggins, LMSW
• Mary T Hughes-Paulline, LISW
• Julia A Hull, ARNP
• Mark A Hull, MD
• Humbled Hearts Home-Health Care
• Melissa Ann Hummel
• Justice Lyric Humphrey, MSN, ARNP, FNP-C

• Medical Physician Assistant in Davenport, IA
• Providers in Davenport, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.