Connie Fairley Hicks, DNP-NP - Medicare Nurse Practitioner in Raleigh, NC

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Connie Fairley Hicks, DNP-NP is a medicare enrolled "Nurse Practitioner" in Raleigh, North Carolina. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 3801 Lake Boone Trl, Suite G, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 865-8710.

Connie Fairley Hicks is licensed to practice in North Carolina (license number 5004262) 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 1649418971.

Contact Information

Connie Fairley Hicks, DNP-NP
3801 Lake Boone Trl, Suite G,
Raleigh, NC 27607-2934
(919) 865-8710
(919) 256-0772

Map and Direction




Provider's Profile

Full NameConnie Fairley Hicks
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location3801 Lake Boone Trl, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Connie Fairley Hicks graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1649418971
  • Provider Enumeration Date: 01/23/2009
  • Last Update Date: 11/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8729138789
  • Enrollment ID: I20090612000162

Medical Identifiers

Medical identifiers for Connie Fairley Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649418971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5004262 (North Carolina)Primary

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. Connie Fairley Hicks allows following entities to bill medicare on her behalf.
Entity NameThe Hope Centre For Advancement, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164724795
PECOS PAC ID: 0749466167
Enrollment ID: O20110519000846
Entity NameVision Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588974158
PECOS PAC ID: 5395988133
Enrollment ID: O20130827000600
Entity NameRelief Integrated Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184143224
PECOS PAC ID: 3072861640
Enrollment ID: O20180731000242

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. Connie Fairley 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 AddressPractice Location Address
Connie Fairley Hicks, DNP-NP
3801 Lake Boone Trl,
Raleigh, NC 27607-2934

Ph: (919) 856-8710		Connie Fairley Hicks, DNP-NP
3801 Lake Boone Trl, Suite G,
Raleigh, NC 27607-2934

Ph: (919) 865-8710

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.