| Evonne A Hickok, FNP-C | |
|
1321 W Dakota Pkwy, Williston, ND 58801-3807 | |
| (701) 572-7711 | |
| (701) 572-2283 |
| Full Name | Evonne A Hickok |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1321 W Dakota Pkwy, Williston, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013322387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R19781 (North Dakota) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | R19781 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Hospitals | Minot, ND | Hospital |
| Chi St Alexius Health Williston | Williston, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health | 7911816020 | 283 |
| Entity Name | Trinity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Evonne A Hickok, FNP-C Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Evonne A Hickok, FNP-C 1321 W Dakota Pkwy, Williston, ND 58801-3807 Ph: (701) 572-7711 |
Elizabeth Ann Skov, FPMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 2nd Ave W, Williston, ND 58801 Phone: 701-774-4600 Fax: 701-774-4620 | |
Mrs. Cathie Sue Henneberry, F.N.P., APRN-BC, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1213 15th Ave W, Williston, ND 58801 Phone: 701-572-7651 | |
Nana Oforiwaa Boateng, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Erika Frey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Debra J. Lukenbill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7477 Fax: 701-774-7479 | |
Lauryn Mason, RN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 406-239-8639 |