LARRY THOMAS HICKERSON JR. NP-C
NPI 1376134767
Nurse Practitioner - Family in Whitesburg, KY

Active since January 29, 2021PECOS EnrolledAccepts Medicare Assignment
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858(606) 633-4871 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Jan 29, 2021 (2 updates tracked since 2021).

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

NPI1376134767
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLARRY THOMAS HICKERSON JR.Credential: NP-C
Location Address226 MEDICAL PLAZA LNWhitesburg, KY 41858-7425
Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 29, 2021
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
NPI 1376134767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3015776
226 MEDICAL PLAZA LN, Whitesburg, KY 41858

Secondary Practice Location 1

Location 1552 Black Bottom RdJeremiah, KY 41826-9015 · Phone (606) 634-4837

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8325437932
PECOS Enrollment IDI20211118003010
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.

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.

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.

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.

Pharmacy (Community/Retail Pharmacy)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Obstetrics & Gynecology
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Internal Medicine (Pulmonary Disease)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Counselor (Professional)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Pediatrics
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
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.

What insurance does Larry Hickerson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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.