JESSICA TILLEY HICKS FNP
NPI 1821675158
Nurse Practitioner - Family in Statesville, NC

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
632 SPRINGDALE RD, STATESVILLE, NC 28677(704) 657-6367 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Tilley Hicks Fnp NPPES

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

JESSICA TILLEY HICKS FNP (NPI 1821675158) is an individual family provider in Statesville, North Carolina, licensed in North Carolina (253623) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821675158
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA TILLEY HICKSCredential: FNP
Location Address632 SPRINGDALE RDStatesville, NC 28677-3432
Mailing Address632 Springdale RdStatesville, NC 28677-3432 · (704) 657-6367
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1821675158 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 NC · 253623
632 SPRINGDALE RD, Statesville, NC 28677

Other Names 1

Other Name (5)Jessica Suzanne Tilley Fnp

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Tilley Hicks Fnp 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 ID5395145593
PECOS Enrollment IDI20210609002482, I20221014000309, I20221014000476, I20230523000418, I20230918000816, I20230918001088, I20230919000013, I20231009001117, I20231026004202, I20231103003086, I20231110001017, I20240321002328, I20240321002519, I20240329002017, I20240329002265, I20240401001686, I20240402000007, I20241114003423, I20241118003659, I20250116001715, I20260220003790
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.

Medicare Billing Reassignments

19

Medicare enrollment records show Jessica Hicks reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
228 SMITH CHAPEL RD
Mount Olive, NC 28365
  • Reassigned Medicare billing, North Carolina enrollment
  • 12 clinicians in this Medicare group
Family Medicine
136 DAVIS LN
La Follette, TN 37766
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 clinicians in this Medicare group
Family Medicine
11 DAIRY LN
Fredericksburg, VA 22405
  • Reassigned Medicare billing, Virginia enrollment
  • 24 clinicians in this Medicare group
Geriatric Medicine
230 CHERRY ST
Chillicothe, OH 45601
  • Reassigned Medicare billing, Alabama, Connecticut, Florida, Maine, North Carolina, New Jersey, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia, Wisconsin and West Virginia enrollments
  • 43 clinicians in this Medicare group
Family Medicine
30 WEST AVE
Wayne, PA 19087
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 43 clinicians in this Medicare group
Internal Medicine
2329 NOSTRAND AVE STE 600
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Intermed Medical Ny P.C.
  • 16 clinicians in this Medicare group
Family Medicine
169 MADISON AVE STE 2817
New York, NY 10016
  • Reassigned Medicare billing, Iowa, Illinois, Indiana, Michigan, Ohio and Texas enrollments
  • 17 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Florida and Pennsylvania enrollments
  • Medicare enrollment name: Daniel Funsch Jr MD PC
  • 124 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Daniel Funsch Jr MD Professional Corporation
  • 40 clinicians in this Medicare group
Multi-Specialty
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Florida, Kentucky and New Jersey enrollments
  • 42 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
254 services112 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
132 services130 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
127 services112 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
121 services120 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
115 services102 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
88 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$18.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
632 SPRINGDALE RD
STATESVILLE, NC 28677

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 Jessica Hicks's NPI number?

The NPI number for Jessica Hicks is 1821675158. It was assigned to this individual provider in the NPPES registry on March 24, 2021. The provider is also known as Jessica Suzanne Tilley Fnp.

Where is Jessica Hicks located?

Jessica Hicks practices at 632 Springdale Rd, Statesville, NC 28677. The listed phone number is (704) 657-6367.

What is Jessica Hicks's specialty?

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

Is Jessica Hicks enrolled in Medicare?

Yes. Jessica 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.

Which organizations bill Medicare for Jessica Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Hicks reassigns Medicare benefits to 19 organizations: Visavis Health Care Medical Group Of Nc PLLC (Mount Olive, NC), Visavis Health Care Medical Group Of Tn PLLC (La Follette, TN), Visavis Health Care Medical Group Of VA LLC (Fredericksburg, VA), Tapestry Telehealth PLLC (Chillicothe, OH), Visavis Health Care Medical Group Of Pennsylvania PLLC (Wayne, PA) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Hicks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of NC and Cigna HealthCare of Florida, Inc. and 4 other insurers list Jessica Hicks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Hicks was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.