AUTUMN NATASHA HICKS
NPI 1316797749
Nurse Practitioner - Family in Staten Island, NY
About Autumn Natasha Hicks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN NATASHA HICKS (NPI 1316797749) is an individual family provider in Staten Island, New York, licensed in New York (F353587-01) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2023).
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
Autumn Natasha Hicks 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 Reassignment
Medicare enrollment records show Autumn Hicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10312
- Reassigned Medicare billing, New York enrollment
- 530 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Staten Island University Hospital
Acute Care Hospitals · Staten Island, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Autumn Hicks's NPI number?
The NPI number for Autumn Hicks is 1316797749. It was assigned to this individual provider in the NPPES registry on March 26, 2024.
Where is Autumn Hicks located?
Autumn Hicks practices at 274 Willow Rd W, Staten Island, NY 10314. The listed phone number is (347) 466-2567.
What is Autumn Hicks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Autumn Hicks enrolled in Medicare?
Yes. Autumn 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 organization bills Medicare for Autumn Hicks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Hicks reassigns Medicare benefits to Physicians Of University Hospital PC (Staten Island, NY). 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 Autumn Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Autumn Hicks affiliated with any hospitals?
According to CMS data, Autumn Hicks is affiliated with Staten Island University Hospital.
When was this NPI record last updated?
The NPPES record for Autumn Hicks was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Autumn Natasha Hicks · NPI 1316797749
Family physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since March 26, 2024.
## Identity
- **NPI:** 1316797749 (Entity type: Individual)
- **Enumerated:** March 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F353587-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 274 WILLOW RD W, Staten Island, NY 10314-1673
- **Phone:** (347) 466-2567
## 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:** Physicians Of University Hospital PC (NPI 1013368224, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316797749) · Data from the CMS NPPES public registry.