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ANGIE D HICKS-MASTER ANP
NPI 1255405353
Nurse Practitioner - Psychiatric/Mental Health in Manila, AR

Active since November 20, 2006PECOS Enrolled
920 EAST MEDICAL DRIVE, MANILA, AR 72442(810) 570-0358(870) 570-0359 Get Directions Write a Review

NPPES record last updated: May 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2022, Feb 9, 2020, Sep 13, 2018 (3 updates tracked since 2018).

About Angie D Hicks-master Anp NPPES

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

ANGIE D HICKS-MASTER ANP (NPI 1255405353) is an individual psychiatric/mental health provider in Manila, Arkansas, licensed in Tennessee (APN0000017515) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manila, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1255405353
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGIE D HICKS-MASTERCredential: ANP
Location Address920 EAST MEDICAL DRIVEManila, AR 72442
Mailing AddressP.o. Box 717Manila, AR 72442 · (870) 570-0358 · Fax (870) 570-0359
Phone(810) 570-0358
Fax(870) 570-0359
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 20, 2006
Last NPPES UpdateMay 28, 20223 updates tracked since enumeration
NPPES CertifiedMay 28, 2022
✔ NPI 1255405353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TN · APN0000017515✔ Licensed in AR · A002923
920 EAST MEDICAL DRIVE, Manila, AR 72442
Open in Google Maps ↗

Secondary Practice Location 1

Location 1310 E Lake StManila, AR 72442 · Phone (870) 243-3960 · Fax (870) 561-4913

Other Identifiers 3

Other2007012778MO · Mo State License
Other17515TN · Tn State License
OtherA002923AR · Ar State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angie D Hicks-master Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496858110
PECOS Enrollment IDI20070316000197
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 Reassignments

5

Medicare enrollment records show Angie Hicks-master reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delta Behavioral Health, LLC
2.5 mi
Mental Health (Including Community Mental Health Center)
603 W FLEEMAN STE 4
Manila, AR 72442
  • Reassigned Medicare billing, Arkansas enrollment
  • 9 clinicians in this Medicare group
NPI 1720637085 (870) 570-0358
Northeast Arkansas Community Mental Health Center Inc
18 mi
Community/Behavioral Health
209 S LOCKARD ST
Blytheville, AR 72315
  • Reassigned Medicare billing, Arkansas enrollment
  • 43 clinicians in this Medicare group
NPI 1043461510 (870) 763-2139
Foundation: A Wellness Practice, LLC
30 mi
Counselor
533 W WASHINGTON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 11 clinicians in this Medicare group
NPI 1750878203 (870) 229-0302
Provider Profile
54 mi
Psychiatry
65 GERMANTOWN CT STE 402
Cordova, TN 38018
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
NPI 1780690230 (901) 752-4900
Jim Pang MD PLLC
54 mi
Clinic/Center
8000 CENTERVIEW PKWY STE 301
Cordova, TN 38018
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1447620901 (901) 752-4900

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.

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.
142 services48 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.
99 services40 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72442 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.

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 Angie Hicks-master's NPI number?

The NPI number for Angie Hicks-master is 1255405353. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Angie Hicks-master located?

Angie Hicks-master practices at 920 East Medical Drive, Manila, AR 72442. The listed phone number is (810) 570-0358.

What is Angie Hicks-master's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Angie Hicks-master enrolled in Medicare?

Yes. Angie Hicks-master is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angie Hicks-master's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angie Hicks-master reassigns Medicare benefits to 5 organizations: Delta Behavioral Health, LLC (Manila, AR), Northeast Arkansas Community Mental Health Center Inc (Blytheville, AR), Foundation: A Wellness Practice, LLC (Jonesboro, AR), (Cordova, TN) and Jim Pang MD PLLC (Cordova, TN). 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 Angie Hicks-master's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angie Hicks-master accept?

Health plans from Health Advantage and Octave list Angie Hicks-master 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 Angie Hicks-master was last updated on May 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.