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JACQUELINE HICKS
NPI 1245735943
Nurse Practitioner in Camden, TN

Active since March 26, 2018PECOS Enrolled
284 HIGHWAY 641 N, CAMDEN, TN 38320(731) 213-2446(731) 213-2447 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 23, 2020, Jun 5, 2019, Mar 26, 2018 (3 updates tracked since 2018).

About Jacqueline Hicks NPPES

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

JACQUELINE HICKS (NPI 1245735943) is an individual nurse practitioner in Camden, Tennessee, licensed in Tennessee (0000023945) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245735943
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE HICKS
Location Address284 HIGHWAY 641 NCamden, TN 38320-1350
Mailing Address284 Highway 641 NCamden, TN 38320-1350 · (731) 213-2446 · Fax (731) 213-2447
Phone(731) 213-2446
Fax(731) 213-2447
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateNovember 23, 20203 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1245735943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 0000023945
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 23945 (TN)
284 HIGHWAY 641 N, Camden, TN 38320
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Other Names 1

Former Name (1)Jacqueline Wilson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Hicks 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 Reassignment

Medicare enrollment records show Jacqueline Hicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fast Pace Medical Clinic PLLC
72 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006

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 38320 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier42 claims42 services$17.75 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$44.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier35 claims35 services$100.16 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 5

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

FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
284 HIGHWAY 641 N
CAMDEN, TN 38320
Benton County (731) 213-2446
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Rural Health)
284 HIGHWAY 641 N
CAMDEN, TN 38320
Benton County (731) 213-2446
MR. MATTHEW CARRICO PA-C
Physician Assistant
284 HIGHWAY 641 N
CAMDEN, TN 38320
Benton County (731) 213-2446
HEATHER LARKINS NP
Nurse Practitioner (Family)
284 HIGHWAY 641 N
CAMDEN, TN 38320
Benton County (731) 213-2446
LYNN REDMOND NP
Nurse Practitioner (Family)
284 HIGHWAY 641 N
CAMDEN, TN 38320
Benton County (731) 213-2446

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 Jacqueline Hicks's NPI number?

The NPI number for Jacqueline Hicks is 1245735943. It was assigned to this individual provider in the NPPES registry on March 26, 2018. The provider is also known as Jacqueline Wilson.

Where is Jacqueline Hicks located?

Jacqueline Hicks practices at 284 Highway 641 N, Camden, TN 38320. The listed phone number is (731) 213-2446.

What is Jacqueline Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacqueline Hicks enrolled in Medicare?

Yes. Jacqueline Hicks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hicks reassigns Medicare benefits to Fast Pace Medical Clinic PLLC (Spring Hill, TN). The 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 Jacqueline Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Hicks was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.