1. Home
  2. Directory
  3. Indiana
  4. Bloomington
  5. Nurse Practitioner
  6. NPI Profile

NICHOLE HICKMAN NP
NPI 1003802067
Nurse Practitioner - Pediatrics in Bloomington, IN

Active since September 26, 2005PECOS Enrolled
350 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 335-2434(812) 335-7604 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2025, Jan 18, 2021 (2 updates tracked since 2021).

About Nichole Hickman Np NPPES

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

NICHOLE HICKMAN NP (NPI 1003802067) is an individual pediatrics provider in Bloomington, Indiana, licensed in Indiana (71001444A) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1003802067
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICHOLE HICKMANCredential: NP
Location Address350 S LANDMARK AVEBloomington, IN 47403-5001
Mailing Address350 S Landmark AveBloomington, IN 47403-5001 · (812) 335-2434 · Fax (812) 335-7604
Phone(812) 335-2434
Fax(812) 335-7604
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1003802067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IN · 71001444A
350 S LANDMARK AVE, Bloomington, IN 47403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1651 S Clarizz BlvdBloomington, IN 47401-5523 · Phone (812) 335-2435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Hickman Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Nichole Hickman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Southern Indiana Physicians, LLC
6.6 mi
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
NPI 1013953983 (812) 353-5252
Iu Health Medical Group, LLC
48 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 20

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

KALINA GILBERT
Social Worker
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 676-4438
TAMRA R ROBERTSON CPNP
Nurse Practitioner (Pediatrics)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 335-2434
AUDRA JANICE KUNZMAN-MAZDZER MD
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 335-2434
JEREMY RAINTREE VOYLES LMHC
Counselor (Mental Health)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 332-9874
AMBER M CASSADY NP
Nurse Practitioner (Family)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 332-9874
JENNIFER NOEL LENNINGTON M.D.
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 335-2435
NADINE T AL HOMSI MD
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 332-9874
MARGARET MIRCH DYER CPNP
Nurse Practitioner (Pediatrics)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 332-9874

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 Nichole Hickman's NPI number?

The NPI number for Nichole Hickman is 1003802067. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Nichole Hickman located?

Nichole Hickman practices at 350 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 335-2434.

What is Nichole Hickman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nichole Hickman enrolled in Medicare?

Yes. Nichole Hickman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nichole Hickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Hickman reassigns Medicare benefits to 2 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Nichole Hickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole Hickman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Nichole Hickman 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 Nichole Hickman was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.