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TIFFANY HICKMAN APRN
NPI 1346798485
Nurse Practitioner - Obstetrics & Gynecology in Lexington, KY

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1700 NICHOLASVILLE RD STE 701, LEXINGTON, KY 40503(859) 278-0396 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2020, Mar 17, 2018, Mar 7, 2018 and 1 more (4 updates tracked since 2016).

About Tiffany Hickman Aprn NPPES

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

TIFFANY HICKMAN APRN (NPI 1346798485) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (3010398) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346798485
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameTIFFANY HICKMANCredential: APRN
Location Address1700 NICHOLASVILLE RD STE 701Lexington, KY 40503-1467
Mailing Address1700 Nicholasville Rd Ste 701Lexington, KY 40503-1467 · (859) 278-0396
Phone(859) 278-0396
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 19, 2016
Last NPPES UpdateDecember 9, 20204 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1346798485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in KY · 3010398
1700 NICHOLASVILLE RD STE 701, Lexington, KY 40503
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11760 Nicholasville Rd, Suite 101Lexington, KY 40503-1471 · Phone (859) 278-0396 ext. 80396
Location 2206 Bevins LnGeorgetown, KY 40324-6130 · Phone (502) 868-0368

Other Identifiers 1

Medicaid7100444030KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

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

Tiffany Hickman Aprn 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.

PECOS PAC ID8224310446
PECOS Enrollment IDI20170124001820
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 Tiffany Hickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc
3.2 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390

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.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
47%95 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
94%691 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%107 patients3/55-star benchmark: 85%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KERRI JO NEFF A.R.N.P
Nurse Practitioner (Obstetrics & Gynecology)
1700 NICHOLASVILLE RD STE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
ANNA BARBER
Nurse Practitioner (Obstetrics & Gynecology)
1700 NICHOLASVILLE RD STE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
MS. DENISE RUSSELL ARNP
Nurse Practitioner (Women's Health)
1700 NICHOLASVILLE RD STE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
LEXINGTON OB GYN ASSOCIATES PSC
Nurse Practitioner (Women's Health)
1700 NICHOLASVILLE RD STE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
MRS. EMILY JO FRASER APRN
Nurse Practitioner (Family)
1700 NICHOLASVILLE RD STE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396

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 Tiffany Hickman's NPI number?

The NPI number for Tiffany Hickman is 1346798485. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Tiffany Hickman located?

Tiffany Hickman practices at 1700 Nicholasville Rd Ste 701, Lexington, KY 40503. The listed phone number is (859) 278-0396.

What is Tiffany Hickman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Tiffany Hickman enrolled in Medicare?

Yes. Tiffany Hickman 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 Tiffany Hickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Hickman reassigns Medicare benefits to Baptist Health Medical Group Inc (Lexington, KY). 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 Tiffany Hickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Hickman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Tiffany Hickman 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.

Is Tiffany Hickman affiliated with any hospitals?

According to CMS data, Tiffany Hickman is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Tiffany Hickman was last updated on December 9, 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.