Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melinda Sue Hickey, MSN, AGNP-C, CWON

Individual provider Gerontology Nurse Practitioner · NPI 1396453346

Melinda Sue Hickey, MSN, AGNP-C, CWON is a Gerontology Nurse Practitioner in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone: (309) 678-2218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AG09220121 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209027429 (IL)

Record details

NPI number1396453346
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AGNP-C , CWON
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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