STEPHANIE MICHELLE HICKMON APRN
NPI 1053907931
Nurse Practitioner - Family in Little Rock, AR

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
9500 KANIS RD, LITTLE ROCK, AR 72205(012) 279-0805(501) 227-0410 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Dec 15, 2020 (2 updates tracked since 2020).

About Stephanie Michelle Hickmon Aprn NPPES

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

STEPHANIE MICHELLE HICKMON APRN (NPI 1053907931) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (A005799) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053907931
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE MICHELLE HICKMONCredential: APRN
Location Address9500 KANIS RDLittle Rock, AR 72205-6324
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 227-9080 · Fax (501) 227-0410
Fax(501) 227-0410
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 15, 2020
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
NPI 1053907931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A005799
9500 KANIS RD, Little Rock, AR 72205

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Michelle Hickmon Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183036007
PECOS Enrollment IDI20201218000416
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
276 services273 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$24.49 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$9.41 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims489 services$4.58 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims8,460 services$0.28 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$56.76 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier14 claims14 services$45.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Plastic Surgery
9500 KANIS RD, SUITE 502
LITTLE ROCK, AR 72205
Registered Nurse (Registered Nurse First Assistant)
9500 KANIS RD, SUITE 501
LITTLE ROCK, AR 72205
Nurse Practitioner (Family)
9500 KANIS RD, SUITE 101
LITTLE ROCK, AR 72205
Nurse Practitioner (Family)
9500 KANIS RD, SUITE 101
LITTLE ROCK, AR 72205
Surgery
9500 KANIS RD, STE 501
LITTLE ROCK, AR 72205
Internal Medicine (Sleep Medicine)
9500 KANIS RD
LITTLE ROCK, AR 72205
Radiology (Radiation Oncology)
9500 KANIS RD
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
9500 KANIS RD, HICKINGBOTHAM OUTPATIENT CENTER
LITTLE ROCK, AR 72205

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 Stephanie Hickmon's NPI number?

The NPI number for Stephanie Hickmon is 1053907931. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Stephanie Hickmon located?

Stephanie Hickmon practices at 9500 Kanis Rd, Little Rock, AR 72205. The listed phone number is (012) 279-0805.

What is Stephanie Hickmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Hickmon enrolled in Medicare?

Yes. Stephanie Hickmon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Hickmon accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Stephanie Hickmon 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 Stephanie Hickmon was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.