KATELYN HICKS ARNP
NPI 1104347004
Nurse Practitioner - Family in Chipley, FL
About Katelyn Hicks Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN HICKS ARNP (NPI 1104347004) is an individual family provider in Chipley, Florida, licensed in Florida (ARNP9363859) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Northwest Florida Community Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katelyn Hicks Arnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Katelyn Hicks reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chipley, FL 32428
- Reassigned Medicare billing, Florida enrollment
- 10 clinicians in this Medicare group
Blountstown, FL 32424
- Reassigned Medicare billing, Florida enrollment
- Also billed through NPI 1033434196 (Florida)
- 24 clinicians in this Medicare group
Gulf Breeze, FL 32563
- Reassigned Medicare billing, Florida enrollment
- 79 clinicians in this Medicare group
Gulf Breeze, FL 32563
- Reassigned Medicare billing, Florida enrollment
- 62 clinicians in this Medicare group
Pensacola, FL 32504
- Reassigned Medicare billing, Florida enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwest Florida Community Hospital
Critical Access Hospitals · Chipley, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHIPLEY, FL 32428
CHIPLEY, FL 32428
CHIPLEY, FL 32428
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 Katelyn Hicks's NPI number?
The NPI number for Katelyn Hicks is 1104347004. It was assigned to this individual provider in the NPPES registry on June 29, 2017.
Where is Katelyn Hicks located?
Katelyn Hicks practices at 1360 Brickyard Rd, Chipley, FL 32428. The listed phone number is (850) 638-1610.
What is Katelyn Hicks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Katelyn Hicks enrolled in Medicare?
Yes. Katelyn Hicks 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.
Which organizations bill Medicare for Katelyn Hicks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Hicks reassigns Medicare benefits to 5 organizations: Southland Hospitlalist At Chipley, Pl. (Chipley, FL), Calhoun-Liberty Hospital Association Inc (Blountstown, FL), Physician Services Group Of Florida, LLC (Gulf Breeze, FL), Psgfl Mssp, LLC (Gulf Breeze, FL) and Mid-South Palliative Services, LLC (Pensacola, FL). 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 Katelyn Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Katelyn Hicks affiliated with any hospitals?
According to CMS data, Katelyn Hicks is affiliated with Northwest Florida Community Hospital.
When was this NPI record last updated?
The NPPES record for Katelyn Hicks was last updated on June 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Katelyn Hicks, ARNP · NPI 1104347004
Family physician in Chipley, Florida. Individual provider, active in the CMS NPPES registry since June 29, 2017.
## Identity
- **NPI:** 1104347004 (Entity type: Individual)
- **Enumerated:** June 29, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP9363859 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1360 BRICKYARD RD, Chipley, FL 32428-6303
- **Phone:** (850) 638-1610
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Southland Hospitlalist At Chipley, Pl. (NPI 1801213020, Chipley, FL); Calhoun-Liberty Hospital Association Inc (NPI 1649596784, Blountstown, FL); Physician Services Group Of Florida, LLC (NPI 1235775396, Gulf Breeze, FL); Psgfl Mssp, LLC (NPI 1689557936, Gulf Breeze, FL); Mid-South Palliative Services, LLC (NPI 1306351275, Pensacola, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 29, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1104347004) · Data from the CMS NPPES public registry.