SAMANTHA BLAKE HICKS NP
NPI 1518390632
Nurse Practitioner in Charlotte, NC

Q: What is Samantha Hicks's NPI number?

The NPI number for Samantha Hicks is 1518390632. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Q: What is Samantha Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Hicks was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 13, 2013PECOS EnrolledAccepts Medicare Assignment

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-4490 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 23, 2024, May 15, 2023, Mar 16, 2023 and 51 more (54 updates tracked since 2018).

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About Samantha Blake Hicks Np NPPES

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

SAMANTHA BLAKE HICKS NP (NPI 1518390632) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5006361) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of University Of South Carolina School Of Medicine (2013).

NPPES Registry Identity

NPI1518390632

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA BLAKE HICKSCredential: NP

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 446-4490

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2013

Enumeration DateAugust 13, 2013

Last NPPES UpdateJuly 23, 202454 updates tracked since enumeration

✔ NPI 1518390632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5006361

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1350 S KINGS DR, Charlotte, NC 28207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Samantha Blake Hicks Np 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 ID9032346275

PECOS Enrollment IDI20131216000897

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

122 services89 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340119

Location301 Yadkin StAlbemarle, NC 28001 · Stanly County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)