AMANDA B HICKERSON CRNA
NPI 1295158541
Nurse Anesthetist, Certified Registered in Lawrenceville, GA
About Amanda B Hickerson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA B HICKERSON CRNA (NPI 1295158541) is an individual nurse anesthetist, certified registered in Lawrenceville, Georgia, licensed in Georgia (RN159328) and active in the NPI registry since January 2014. She is a graduate of University Of Alabama School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda B Hickerson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Amanda Hickerson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 95 clinicians in this Medicare group
Snellville, GA 30078
- Reassigned Medicare billing, Georgia enrollment
- 75 clinicians in this Medicare group
Stone Mountain, GA 30087
- Reassigned Medicare billing, Georgia enrollment
- 650 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 65 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 213 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 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
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.
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.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Amanda Hickerson's NPI number?
The NPI number for Amanda Hickerson is 1295158541. It was assigned to this individual provider in the NPPES registry on January 22, 2014.
Where is Amanda Hickerson located?
Amanda Hickerson practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (770) 277-3056.
What is Amanda Hickerson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Amanda Hickerson enrolled in Medicare?
Yes. Amanda Hickerson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amanda Hickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Hickerson reassigns Medicare benefits to 6 organizations: Advanced Urology Institute Of Georgia, LLC (Lawrenceville, GA), Advanced Urology Anesthesia, LLC (Snellville, GA), American Anesthesiology Associates Of Georgia, LLC (Stone Mountain, GA), Advanced Gynecology PC (Roswell, GA), Mak Anesthesia Georgia, LLC (Kennesaw, GA) and 1 more organization, listed in the Medicare section above. 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 Amanda Hickerson'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 Amanda Hickerson was last updated on April 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Amanda B Hickerson, CRNA · NPI 1295158541
Nurse Anesthetist, Certified Registered physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since January 22, 2014.
## Identity
- **NPI:** 1295158541 (Entity type: Individual)
- **Enumerated:** January 22, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN159328 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046-0000
- **Phone:** (770) 277-3056 · **Fax:** (855) 204-5244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Advanced Urology Institute Of Georgia, LLC (NPI 1457851255, Lawrenceville, GA); Advanced Urology Anesthesia, LLC (NPI 1215365242, Snellville, GA); American Anesthesiology Associates Of Georgia, LLC (NPI 1528068673, Stone Mountain, GA); Advanced Gynecology PC (NPI 1831659440, Roswell, GA); Mak Anesthesia Georgia, LLC (NPI 1609390103, Kennesaw, GA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** April 14, 2014
- **Other identifiers:** Medicaid 003143008A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295158541) · Data from the CMS NPPES public registry.