| Shannon Marie Hicks, FNP-C | |
|
550 Munson Ave, Traverse City, MI 49686-3580 | |
| (231) 935-8686 | |
| (231) 935-8708 |
| Full Name | Shannon Marie Hicks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 550 Munson Ave, Traverse City, Michigan |
| 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 |
|---|---|---|---|
| 1871143685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704284540 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charlevoix Area Hospital | Charlevoix, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Healthcare Grayling | 2062736655 | 55 |
| Munson Medical Center | 3072426287 | 345 |
| Munson Healthcare Charlevoix Hospital | 4284528035 | 43 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
| Entity Name | Munson Healthcare Charlevoix Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326124058 PECOS PAC ID: 4284528035 Enrollment ID: O20040211001170 |
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
| Entity Name | Northwestern Michigan Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073597944 PECOS PAC ID: 7214933928 Enrollment ID: O20061019000359 |
| Entity Name | Munson Healthcare Charlevoix Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790867216 PECOS PAC ID: 4284528035 Enrollment ID: O20070109000030 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Entity Name | Munson Healthcare Grayling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 |
| Entity Name | Munson Healthcare Cadillac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Hicks, FNP-C 550 Munson Ave, Traverse City, MI 49686-3580 Ph: (231) 935-8686 | Shannon Marie Hicks, FNP-C 550 Munson Ave, Traverse City, MI 49686-3580 Ph: (231) 935-8686 |
Dr. Ariel Marie Ennis, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-3250 | |
Harriet Sue Barner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801 | |
Ms. Christine Marie Sykes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684 Phone: 231-947-1112 | |
Ms. Karri G Hagan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 Fax: 231-421-7852 | |
Matthew Nathan Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 Cass St, Traverse City, MI 49684 Phone: 231-941-1155 Fax: 231-259-1005 | |
Carol Jean Sodman, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 E 8th St, Traverse City, MI 49686 Phone: 231-929-1844 Fax: 231-949-2084 | |
Laura A. Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 W Front St, Traverse City, MI 49684 Phone: 231-995-3657 |