Shelley V Hicks, MSN, FNP-C in Lebanon, VA - Medicare Nurse Practitioner

Shelley V Hicks, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lebanon, Virginia. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Samina Yousuf Md Pc, Wellmont Medical Associates Inc and her current practice location is 344 Overlook Dr Ste 200, Lebanon, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 883-5900.

Shelley V Hicks is licensed to practice in Virginia (license number 0024168229) 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 1962643403.

Contact Information

	Shelley V Hicks, MSN, FNP-C
	344 Overlook Dr Ste 200, Lebanon, VA 24266-3436
	(276) 883-5900
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelley V Hicks
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	344 Overlook Dr Ste 200, Lebanon, Virginia
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:

Shelley V Hicks attended and graduated from East Tennessee State University Quillen College Of Medicine in 2008

NPI Data:

NPI Number: 1962643403
Provider Enumeration Date: 03/12/2009
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8820148232
Enrollment ID: I20090605000218

Medical Identifiers

Medical identifiers for Shelley V Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962643403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	15002 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	0024168229 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnston Memorial Hospital	Abingdon, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Samina Yousuf Md Pc	4880660604	10
Wellmont Medical Associates Inc	8123291739	426

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. Shelley V Hicks allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336

Entity Name	Samina Yousuf Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598853889 PECOS PAC ID: 4880660604 Enrollment ID: O20040902001305

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467

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. Shelley V 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
Shelley V Hicks, MSN, FNP-C 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Shelley V Hicks, MSN, FNP-C 344 Overlook Dr Ste 200, Lebanon, VA 24266-3436 Ph: (276) 883-5900

Reviews and Comments

Nurse Practitioner Nurses in Lebanon, VA

Kimberly Michelle Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Majestic Valley Rd, Lebanon, VA 24266 Phone: 276-596-0608
Mrs. Amanda Michele Mullins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Highland Dr, Lebanon, VA 24266 Phone: 276-889-0433 Fax: 276-889-5537
Mrs. Kathy Jo Justus, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505
Amanda Elizabeth Horner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll Street, Lebanon, VA 24266 Phone: 276-883-8000
Mrs. Jacquelin London Greene, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 58 Carroll St, Lebanon, VA 24266 Phone: 276-883-8086 Fax: 276-883-8090
Kelly E Harness, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 344 Overlook Dr Ste 200, Lebanon, VA 24266 Phone: 276-883-5900
Nancy Sue Blevins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Rogers Street, Lebanon, VA 24266 Phone: 276-889-7621 Fax: 276-889-7621

Shelley V Hicks, MSN, FNP-C - Medicare Nurse Practitioner in Lebanon, VA