Susan Jane Nisson Hicks, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Bryans Road, Maryland. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Maryland Community Medical Group Inc and her current practice location is
3145 Marshall Hall Rd, Bryans Road, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 609-5350.
Susan Jane Nisson Hicks is licensed to practice in Maryland (license number R091864) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164049029.
Provider's Profile
| Full Name | Susan Jane Nisson Hicks |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 3145 Marshall Hall Rd, Bryans Road, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Susan Jane Nisson Hicks graduated from nursing school in 2023
NPI Data:
- NPI Number: 1164049029
- Provider Enumeration Date: 06/26/2020
- Last Update Date: 03/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143750687
- Enrollment ID: I20250212002967
Medical Identifiers
Medical identifiers for Susan Jane Nisson Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164049029 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | R091864 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| University Of Maryland Community Medical Group Inc | 3678472214 | 394 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Susan Jane Nisson Hicks allows following entities to bill medicare on her behalf.
| Entity Name | University Of Maryland Community Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Jane Nisson Hicks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Susan Jane Nisson Hicks, CRNP 900 Elkridge Landing Rd, Linthicum Heights, MD 21090-2924 Ph: (301) 609-5350 | Susan Jane Nisson Hicks, CRNP 3145 Marshall Hall Rd, Bryans Road, MD 20616-4263 Ph: (301) 609-5350 |
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