Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699989665 Individual Practitioner Female Practitioner

Tamara Lynn Hickman , CPNP

Nurse Practitioner - Pediatrics • Charlevoix, MI

Professional Overview & Biography Verified Profile Summary

Tamara Hickman, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Charlevoix, MI. Practice services are available at NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Northwest Michigan Community Health Agency
220 W. Garfield Street

Charlevoix, MI 49720

Telephone 2315476523
Fax 2315476238
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Charlevoix, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Charlevoix, MI (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704113645

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4868054 (MI)
Commercial Insurance / Payer ID Bcbsm License Number
TH113645 (MI)
Commercial Insurance / Payer ID Bcbsm
50-0-A5-1010-0 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1104971951

Doctor of Dental Surgery

NPI 1124172838

Doctor of Dental Surgery

NPI 1164573713

Doctor of Dental Surgery

NPI 1184890170

Doctor of Dental Surgery

NPI 1386795979

Doctor of Dental Medicine

NPI 1386798015

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREET, CHARLEVOIX, MI 49720 (Tel: 2315476523)

📍
Updated Business Mailing Address June 28, 2016

Registered at 8275 W STATE ST, CENTRAL LAKE, MI 496229701 (Tel: 2315446960)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as TAMARA HICKMAN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

Nurse Practitioner (License #4704113645 in MI)

🟢
Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tamara Hickman. Be the first to share your experience!

Sign in to leave a review for Tamara Hickman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1699989665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: June 28, 2016
Sole Proprietor: No

Mailing Address

8275 W State St

Central Lake, MI 496229701

Phone: 2315446960

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.