JACQUELINE HICKS - NPI 1245735943 - Nurse Practitioner in Camden, TN

Q: 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.

Q: What is Jacqueline Hicks's specialty?

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

Q: When was this NPI record last updated?

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)