| Jessica Tilley Hicks, FNP | |
|
632 Springdale Rd, Statesville, NC 28677-3432 | |
| (704) 657-6367 | |
| Not Available |
| Full Name | Jessica Tilley Hicks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 632 Springdale Rd, Statesville, North Carolina |
| 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 |
|---|---|---|---|
| 1821675158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 253623 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Careathome Medical Practice Ky | 6800202193 | 32 |
| Careathome Medical Practice (nj) | 1052727120 | 21 |
| Lumina Care Medical Nj Llc | 6608305156 | 26 |
| Caringathome, Llc | 3577971266 | 16 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Careathome Medical Practice Ky | 6800202193 | 32 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Careathome Medical Practice Ky | 6800202193 | 32 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Careathome Medical Practice Ky | 6800202193 | 32 |
| Careathome Medical Practice Ky | 6800202193 | 32 |
| Careathome Medical Practice | 4183035876 | 66 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Careathome Medical Practice Ky | 6800202193 | 32 |
| Daniel Funsch Jr Md Professional Corporation | 3870028046 | 6 |
| Entity Name | Tapestry Telehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20180216000776 |
| Entity Name | Visavis Health Care Medical Group Of Nc Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861274607 PECOS PAC ID: 6406203157 Enrollment ID: O20231117000468 |
| Entity Name | Ivy Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250217002168 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Tilley Hicks, FNP 632 Springdale Rd, Statesville, NC 28677-3432 Ph: (704) 657-6367 | Jessica Tilley Hicks, FNP 632 Springdale Rd, Statesville, NC 28677-3432 Ph: (704) 657-6367 |
Tanya Kapp Maxwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 Davie Ave, Statesville, NC 28677 Phone: 704-873-1036 Fax: 704-873-1058 | |
Cecilia Kaechele, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-997-5525 Fax: 704-997-5531 | |
Victor Conrad Paquin, F.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Fern Creek Dr, Statesville, NC 28625 Phone: 828-459-6824 Fax: 828-330-2056 | |
Kimberly Rae Siegrist, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Hartness Rd Ste G, Statesville, NC 28677 Phone: 980-859-9993 Fax: 980-500-1422 | |
Kelly Dawkins Bumgardner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Brookdale Dr Ste 100, Statesville, NC 28677 Phone: 704-873-7850 | |
Rachel Danielle Stanley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 536 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-872-0234 | |
Lisa Vang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-872-6355 |