Active NPIIndividual provider

Misti D Ickes, CRNP

Nurse Practitioner, Family in Barrington, New Jersey

NPI Number1003382516
Practice location
600 Clements Bridge RD, Barrington, NJ 08007-1814
Fax
—
Last updated
February 5, 2026

Misti Dawn Ickes is a Nurse Practitioner, Family based in Barrington, NJ. Misti Dawn Ickes practices in Barrington, NJ and has the professional credentials of CRNP. The NPI Number for Misti Dawn Ickes is 1003382516 and holds a License No. SP019492 (PA). The current practice location address for Misti Dawn Ickes is 600 Clements Bridge RD, Barrington, NJ 08007-1814 and can be reached out via phone at 856-547-8000.

Provider Profile Details

NPI Number
1003382516
Provider Name
Misti Dawn Ickes
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
600 Clements Bridge RD, Barrington, NJ 08007-1814
Phone Number
856-547-8000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 23, 2018
Last Update Date
February 5, 2026
Certification Date
February 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 Clements Bridge RD
Barrington, NJ 08007-1814
Zip
08007-1814
Phone Number
856-547-8000
Barrington, NJ 08007Get directions →

Provider Business Mailing Address Details

Address
600 Clements Bridge RD
Barrington, NJ 08007-1814
City
Barrington
State
NJ
Zip
08007-1814
Phone Number
856-547-8000
Fax Number
856-547-1008

License Information

License Number (1)
SP019492
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
RN556888
License State (2)
PA
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Misti D Ickes, CRNP?

The NPI number of Misti D Ickes, CRNP is 1003382516. It was assigned on October 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Misti D Ickes, CRNP?

Misti D Ickes, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP019492.

Where does Misti D Ickes, CRNP practice?

The practice location is 600 Clements Bridge RD, Barrington, NJ 08007-1814. The office can be reached at 856-547-8000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003382516 directly on the NPPES registry website.

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