SUSAN JANE NISSON HICKS CRNP
NPI 1164049029
Nurse Practitioner - Family in Bryans Road, MD

Q: What is Susan Nisson Hicks's NPI number?

The NPI number for Susan Nisson Hicks is 1164049029. It was assigned to this individual provider in the NPPES registry on June 26, 2020. The provider is also known as Susan Jane Nisson Hicks Np.

Q: What is Susan Nisson Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 26, 2020PECOS EnrolledAccepts Medicare Assignment

3145 MARSHALL HALL RD, BRYANS ROAD, MD 20616(301) 609-5350(301) 684-2134 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Feb 19, 2025, Jun 26, 2020 (3 updates tracked since 2020).

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About Susan Jane Nisson Hicks Crnp NPPES

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

SUSAN JANE NISSON HICKS CRNP (NPI 1164049029) is an individual family provider in Bryans Road, Maryland, licensed in Maryland (R091864) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164049029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN JANE NISSON HICKSCredential: CRNP

Location Address3145 MARSHALL HALL RDBryans Road, MD 20616-4263

Mailing Address900 Elkridge Landing RdLinthicum Heights, MD 21090-2924 · (301) 609-5350

Phone(301) 609-5350

Fax(301) 684-2134

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 26, 2020

Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1164049029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R091864

3145 MARSHALL HALL RD, Bryans Road, MD 20616

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Other Names 1

Professional Name (2)Susan Jane Nisson Hicks Np

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

Susan Jane Nisson Hicks Crnp 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 ID143750687

PECOS Enrollment IDI20250212002967

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20616 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

Other Providers at the Same Location NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Family Medicine

3145 MARSHALL HALL RD
BRYANS ROAD, MD 20616

Charles County (301) 609-5350

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 Susan Nisson Hicks's NPI number?

The NPI number for Susan Nisson Hicks is 1164049029. It was assigned to this individual provider in the NPPES registry on June 26, 2020. The provider is also known as Susan Jane Nisson Hicks Np.

Where is Susan Nisson Hicks located?

Susan Nisson Hicks practices at 3145 Marshall Hall Rd, Bryans Road, MD 20616. The listed phone number is (301) 609-5350.

What is Susan Nisson Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Nisson Hicks enrolled in Medicare?

Yes. Susan Nisson Hicks 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.

When was this NPI record last updated?

The NPPES record for Susan Nisson Hicks was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.