Misti Dawn Ickes (NPI# 1003382516, PAC ID# 4486998838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003382516 |
| PAC ID by PECOS | 4486998838 |
| Professional Enrollment ID | I20181212000240 |
| Full Name | Misti Dawn Ickes |
| Organization Legal Name | WOUND HEALING SOLUTIONS PENNSYLVANIA AND DELAWARE LLC |
| Address |
607 E 26th St Saint Marys Home of Erie Erie PA 16504-2813 |
| Phone Number | 8144590621 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618105768 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10 N Rock Glen Rd, Westgate Hills, Baltimore, MD 21229-3250 | 4106462100 | WOUND HEALING SOLUTIONS MDVAWV LLC |
| 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 | 8144590621 | WOUND HEALING SOLUTIONS PENNSYLVANIA AND DELAWARE LLC |
| 9400 Coastal Hwy 505, Ocean City, MD 21842-6902 | 8565478000 | WOUND HEALING SOLUTIONS MDVAWV LLC |
| 6300 Greene St, Philadelphia, PA 19144-2510 | 2158440700 | WOUND HEALING SOLUTIONS PENNSYLVANIA AND DELAWARE LLC |
| Organization Legal Name | WOUND HEALING SOLUTIONS PENNSYLVANIA AND DELAWARE LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori A Leach | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 46 Erford Rd, The Meadows At Camp Hill, Camp Hill, PA 17011-2303 |
| Lilian Shotts | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 134 Marwood Rd, Cabot, PA 16023-2206 |
| Justine Cusick | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 437 Givler Dr, Martinsburg, PA 16662-1635 |
| Victoria Copp | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 4855 W Ridge Rd, Saint Marys Home of Erie, Erie, PA 16506-1213 |
| Maureen R Pearce | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 3250 State Rd, Sellersville, PA 18960-1624 |
| Deidre L Albanese | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 14714 Park Ave Ext, Meadville Rehab and Nursing Ctr, Meadville, PA 16335-9400 |
| Joann H Stracuzzi | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 2630 Woodland Rd, Brookside Healthcare and Rehab, Roslyn, PA 19001-3013 |
| Thomas Paul Mcnulty | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 395 E Middle Rd, Birchwood Nursing and Rehab, Nanticoke, PA 18634-3806 |
| Lori Marie Michalski | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 |
| Julia C Newbold | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 |
| Street Address |
607 E 26TH ST SAINT MARYS HOME OF ERIE |
| City | ERIE |
| State | PA |
| Zip | 16504-2813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Marie Michalski | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 |
| Julia C Newbold | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 |
| Lauren E Schiffner | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 |
| Tonya L Aversa | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 |
| Jenna Leigh Soder | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 607 E 26th St, Saint Marys Home of Erie, Erie, PA 16504-2813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan E Marita | Physician Assistant | Erie Physicians Network Upmc Inc | 3125 French St, Erie, PA 16504-1068 |
| Stephen Michael Wieczorek | Podiatry | 3263 Pine Ave, Erie, PA 16504-1159 | |
| David M Kruszewski | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Joseph A Carvelli | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Jacqueline Sue Smith | Physician Assistant | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| James A Gade | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Christian P. Dudenhoefer | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Bethe S Viscuso | Nurse Practitioner | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Craig T Johnston | Family Practice | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Stephen P Kroth | Family Practice | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Find all physicians in zip 16504 | |||
| City | ERIE |
| Zip Code | 16504 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ERIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Misti Dawn Ickes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.