MELINDA SUE HICKEY MSN, AGNP-C, CWON
NPI 1396453346
Nurse Practitioner - Primary Care in Peoria, IL
About Melinda Sue Hickey Msn, Agnp-c, Cwon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELINDA SUE HICKEY MSN, AGNP-C, CWON (NPI 1396453346) is an individual primary care provider in Peoria, Illinois, licensed in Illinois (AG09220121) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melinda Sue Hickey Msn, Agnp-c, Cwon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61636 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEORIA, IL 61636
PEORIA, IL 61636
PEORIA, IL 61636
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 Melinda Hickey's NPI number?
The NPI number for Melinda Hickey is 1396453346. It was assigned to this individual provider in the NPPES registry on November 8, 2022. The provider is also known as Melinda Sue Gangloff.
Where is Melinda Hickey located?
Melinda Hickey practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 678-2218.
What is Melinda Hickey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Melinda Hickey enrolled in Medicare?
Yes. Melinda Hickey is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Melinda Hickey was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Melinda Sue Hickey, MSN, AGNP-C, CWON · NPI 1396453346
Primary Care physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since November 8, 2022.
## Identity
- **NPI:** 1396453346 (Entity type: Individual)
- **Enumerated:** November 8, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AG09220121 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 NE GLEN OAK AVE, Peoria, IL 61636-0001
- **Phone:** (309) 678-2218
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396453346) · Data from the CMS NPPES public registry.