EVONNE A HICKOK FNP-C
NPI 1013322387
Nurse Practitioner - Primary Care in Williston, ND

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
83.79/100
CMS Quality Rating
1321 W DAKOTA PKWY, WILLISTON, ND 58801(701) 572-7711(701) 572-2283 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evonne A Hickok Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVONNE A HICKOK FNP-C (NPI 1013322387) is an individual primary care provider in Williston, North Dakota, licensed in North Dakota (R19781) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and maintains a secondary practice location in Minot.

NPPES Registry Identity

NPI1013322387
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameEVONNE A HICKOKCredential: FNP-C
Location Address1321 W DAKOTA PKWYWilliston, ND 58801-3807
Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000
Fax(701) 572-2283
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 25, 2014
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1013322387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in ND · R19781
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R19781 (ND)
1321 W DAKOTA PKWY, Williston, ND 58801

Secondary Practice Location 1

Location 12305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evonne A Hickok Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022236827
PECOS Enrollment IDI20140819002859
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services64 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
27 services27 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
27 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Hospitals

Acute Care Hospitals · Minot, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350006
Location407 3rd St SEMinot, ND 58701 · Ward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost67.62

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$4.45 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers16 claims960 services$0.72 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers21 claims21 services$23.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1321 W DAKOTA PKWY
WILLISTON, ND 58801
Nurse Anesthetist, Certified Registered
1321 W DAKOTA PKWY
WILLISTON, ND 58801
Family Medicine
1321 W DAKOTA PKWY
WILLISTON, ND 58801
Optometrist
1321 W DAKOTA PKWY
WILLISTON, ND 58801
Eyewear Supplier
1321 W DAKOTA PKWY
WILLISTON, ND 58801
Clinical Medical Laboratory
1321 W DAKOTA PKWY
WILLISTON, ND 58801
Internal Medicine
1321 W DAKOTA PKWY
WILLISTON, ND 58801
Nurse Practitioner
1321 W DAKOTA PKWY
WILLISTON, ND 58801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evonne Hickok's NPI number?

The NPI number for Evonne Hickok is 1013322387. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Evonne Hickok located?

Evonne Hickok practices at 1321 W Dakota Pkwy, Williston, ND 58801. The listed phone number is (701) 572-7711.

What is Evonne Hickok's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Evonne Hickok enrolled in Medicare?

Yes. Evonne Hickok is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Evonne Hickok accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Evonne Hickok as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Evonne Hickok affiliated with any hospitals?

According to CMS data, Evonne Hickok is affiliated with Trinity Hospitals.

When was this NPI record last updated?

The NPPES record for Evonne Hickok was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.