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LAURA HICKENBOTTOM NP
NPI 1043617665
Nurse Practitioner - Neonatal in Urbana, IL

Active since November 25, 2014PECOS Enrolled
611 W. PARK ST., NEONATOLOGY, URBANA, IL 61801(217) 383-3266(217) 383-3463 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2021, Sep 2, 2016 (2 updates tracked since 2016).

About Laura Hickenbottom Np NPPES

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

LAURA HICKENBOTTOM NP (NPI 1043617665) is an individual neonatal provider in Urbana, Illinois, licensed in Illinois (209014221) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1043617665
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameLAURA HICKENBOTTOMCredential: NP
Location Address611 W. PARK ST., NEONATOLOGYUrbana, IL 61801-2500
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6941
Phone(217) 383-3266
Fax(217) 383-3463
Sole ProprietorNo
Enumeration DateNovember 25, 2014
Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1043617665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
Licenses✔ Licensed in IL · 209014221✔ Licensed in MO · 2014040196
611 W. PARK ST., Urbana, IL 61801
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Secondary Practice Location 1

Location 1415 N 9th St # 4W16Springfield, IL 62702-5303 · Phone (217) 545-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Hickenbottom 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

JOSELYN JOSEPH MD
Internal Medicine
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Champaign County (217) 383-3129
LAUREN RUBARTS OT
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3400
CHRISTINE PRINCE CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3141
LENA MARIE CLEMENTS CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3303
BENJAMIN J RHEE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Champaign County (217) 904-7000
REBECCA A WAGNER MD
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140
HOSHANG IRANI PA
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3313
AUBREY N. HUDSON PA
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140

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 Laura Hickenbottom's NPI number?

The NPI number for Laura Hickenbottom is 1043617665. It was assigned to this individual provider in the NPPES registry on November 25, 2014.

Where is Laura Hickenbottom located?

Laura Hickenbottom practices at 611 W. Park St. Neonatology, Urbana, IL 61801. The listed phone number is (217) 383-3266.

What is Laura Hickenbottom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Laura Hickenbottom enrolled in Medicare?

Yes. Laura Hickenbottom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Hickenbottom was last updated on December 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.