| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Belen Meadows Healthcare And Rehabilitation Center | Belen, NM | Nursing home |
| Sandy River Center | Farmington, ME | Nursing home |
| River City Center | Decatur, AL | Nursing home |
| Cedar Ridge Center | Skowhegan, ME | Nursing home |
| Dunbar Center | Dunbar, WV | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Caringathome, Llc | 3577971266 | 7 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Lumina Care Medical Nj Llc | 6608305156 | 60 |
| Daniel Funsch Jr Md Professional Corporation | 3870028046 | 13 |
| Careathome Medical Practice Ky | 6800202193 | 16 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Careathome Medical Practice Ky | 6800202193 | 16 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Careathome Medical Practice Ky | 6800202193 | 16 |
| Dr Rebman Medical Pa | 3678087400 | 88 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Careathome Medical Practice Ky | 6800202193 | 16 |
| Careathome Medical Practice Ky | 6800202193 | 16 |
| Careathome Medical Practice Ky | 6800202193 | 16 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Entity Name | Tapestry Telehealth PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20180222000127 |
| Entity Name | Visavis Health Care Medical Group of Pennsylvania PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619688132 PECOS PAC ID: 6305218850 Enrollment ID: O20230209000021 |
| 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: O20241227001555 |
| Entity Name | Daniel Funsch Jr, M.D., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316784580 PECOS PAC ID: 1951801836 Enrollment ID: O20251002004171 |
| Entity Name | Dr Rebman Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669276689 PECOS PAC ID: 3678087400 Enrollment ID: O20251213000458 |
| Entity Name | Dr Rebman BH LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114894540 PECOS PAC ID: 6406340421 Enrollment ID: O20260203002776 |
| 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 |
Elizabeth Raven Carrigan, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2347 Simonton Rd, Statesville, NC 28625 Phone: 704-873-4719 |
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 |
Sarah Hanks, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-873-0281 |
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 |