MELINDA SUE HICKEY MSN, AGNP-C, CWON
NPI 1396453346
Nurse Practitioner - Primary Care in Peoria, IL

Active since November 08, 2022PECOS EnrolledAccepts Medicare Assignment
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 678-2218 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Nov 8, 2022 (2 updates tracked since 2022).

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, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396453346
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMELINDA SUE HICKEYCredential: MSN, AGNP-C, CWON
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0001
Mailing Address355 S Bridge StBanner, IL 61520-9307 · (309) 650-0615
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 8, 2022
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1396453346 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 IL · AG09220121
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209027429 (IL)
221 NE GLEN OAK AVE, Peoria, IL 61636

Other Names 1

Other Name (5)Melinda Sue Gangloff

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

Melinda Sue Hickey Msn, Agnp-c, Cwon 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 ID7012374648
PECOS Enrollment IDI20230613000783
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.

Hospital Affiliations CMS Care Compare

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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Student in an Organized Health Care Education/Training Program
221 NE GLEN OAK AVE
PEORIA, IL 61636
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Melinda Hickey affiliated with any hospitals?

According to CMS data, Melinda Hickey is affiliated with Methodist Medical Center Of Illinois.

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 14 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.