LARRY THOMAS HICKERSON JR. NP-C
NPI 1376134767
Nurse Practitioner - Family in Whitesburg, KY
About Larry Thomas Hickerson Jr. Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY THOMAS HICKERSON JR. NP-C (NPI 1376134767) is an individual family provider in Whitesburg, Kentucky, licensed in Kentucky (3015776) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jeremiah, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Larry Thomas Hickerson Jr. Np-c 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 Larry Hickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Whitesburg, KY 41858
- Reassigned Medicare billing, Kentucky enrollment
- 95 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41858 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WHITESBURG, KY 41858
WHITESBURG, KY 41858
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 Larry Hickerson's NPI number?
The NPI number for Larry Hickerson is 1376134767. It was assigned to this individual provider in the NPPES registry on January 29, 2021.
Where is Larry Hickerson located?
Larry Hickerson practices at 226 Medical Plaza Ln, Whitesburg, KY 41858. The listed phone number is (606) 633-4871.
What is Larry Hickerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Larry Hickerson enrolled in Medicare?
Yes. Larry Hickerson 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 Larry Hickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larry Hickerson reassigns Medicare benefits to Mountain Comprehensive Health Corporation (Whitesburg, 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 Larry Hickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larry Hickerson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Larry Hickerson 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 Larry Hickerson was last updated on May 25, 2021. 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.
# Larry Thomas Hickerson Jr., NP-C · NPI 1376134767
Family physician in Whitesburg, Kentucky. Individual provider, active in the CMS NPPES registry since January 29, 2021.
## Identity
- **NPI:** 1376134767 (Entity type: Individual)
- **Enumerated:** January 29, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3015776 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 226 MEDICAL PLAZA LN, Whitesburg, KY 41858-7425
- **Phone:** (606) 633-4871
## 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:** Mountain Comprehensive Health Corporation (NPI 1033166350, Whitesburg, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376134767) · Data from the CMS NPPES public registry.