SHANNON HICKEY
NPI 1730918996
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since July 29, 2024PECOS EnrolledAccepts Medicare Assignment
10 LINCOLN SQ, WORCESTER, MA 01608(774) 375-4022 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Hickey NPPES

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

SHANNON HICKEY (NPI 1730918996) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730918996
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON HICKEY
Location Address10 LINCOLN SQWorcester, MA 01608-1135
Mailing Address24 Edward DrNorth Grafton, MA 01536-1199
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 3, 2024
NPI 1730918996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10 LINCOLN SQ, Worcester, MA 01608

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

Shannon Hickey 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 ID9830689421
PECOS Enrollment IDI20251103002236
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.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

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
10 LINCOLN SQ
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
10 LINCOLN SQ
WORCESTER, MA 01608
Ophthalmology
10 LINCOLN SQ
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
10 LINCOLN SQ
WORCESTER, MA 01608
Optometrist
10 LINCOLN SQ
WORCESTER, MA 01608
Physician Assistant
10 LINCOLN SQ
WORCESTER, MA 01608
Physician Assistant
10 LINCOLN SQ
WORCESTER, MA 01608
Optometrist
10 LINCOLN SQ
WORCESTER, MA 01608

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 Shannon Hickey's NPI number?

The NPI number for Shannon Hickey is 1730918996. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Shannon Hickey located?

Shannon Hickey practices at 10 Lincoln Sq, Worcester, MA 01608. The listed phone number is (774) 375-4022.

What is Shannon Hickey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Hickey enrolled in Medicare?

Yes. Shannon 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 Shannon Hickey affiliated with any hospitals?

According to CMS data, Shannon Hickey is affiliated with Northeast Hospital Corporation.

When was this NPI record last updated?

The NPPES record for Shannon Hickey was last updated on July 29, 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.