Active NPI
Hilary Ann Licardi, ARNP
- Family Nurse Practitioner
- Albany, OR
National Provider Identifier
1992043863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2129202
- Practice address
- 4600 Evergreen PL SE
Albany, OR 97322 - Phone
- (541) 812-4662
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP2129202 | FL | Primary |
Addresses
Primary practice location
4600 Evergreen PL SE
Albany, OR 97322
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
800 Prudential Dr
UFJAX - Peds Critial Care
Jacksonville, FL 32207-8202
Phone (904) 202-8758
Other practice location 2
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003131385A | Medicaid | GA | |
| 008451000 | Medicaid | FL |
Other names 1
- Hilary Ann Dehosson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hlicardi261261@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150
Hospital & facility affiliations
- Good Samaritan Regional Medical Center
- Samaritan Albany General Hospital
- Samaritan Pacific Community Hospital
- Salem Health West Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| The Corvallis Clinic P C | Current | Accepting new patients | |
| The Corvallis Clinic P C | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
1705 Waverly Dr SE
Ste 100
Albany, OR 97322
Phone (547) 967-8221
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
Interoperability endpoints
- hilary.licardi.1@14349.direct.athenahealth.com
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Corvallis, OR
- NPI 1649227265
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Community Based Hospice Care Agency
- Salem, OR
- NPI 1093715070
-
- Urgent Care Clinic/Center
- Corvallis, OR
- NPI 1679362198
-
- Developmental - Behavioral Pediatrics Physician
- Jacksonville, FL
- NPI 1649430919
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 52
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1992043863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 EVERGREEN PL SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "97322",
"telephone_number": "541-812-4662"
}
],
"practiceLocations": [
{
"address_1": "800 Prudential Dr",
"address_2": "UFJAX - Peds Critial Care",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078202",
"country_code": "US",
"telephone_number": "904-202-8758",
"fax_number": "904-306-9884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3680 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "541-754-1150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LICARDI",
"first_name": "HILARY",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2129202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003131385A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008451000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hlicardi261261@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "4600 Evergreen Pl SE",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "97322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HILARY",
"last_name": "DEHOSSON",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.