Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIANA HICKENBOTHAM PMHNP
NPI 1386511707
Nurse Practitioner - Psychiatric/Mental Health in Terre Haute, IN

Q: What is Kristiana Hickenbotham's NPI number?

The NPI number for Kristiana Hickenbotham is 1386511707. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Q: What is Kristiana Hickenbotham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 21, 2025PECOS EnrolledAccepts Medicare Assignment

620 8TH AVE, TERRE HAUTE, IN 47804(812) 231-8242(812) 954-0141 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 14, 2026, Apr 28, 2026 (2 updates tracked since 2026).

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About Kristiana Hickenbotham Pmhnp NPPES

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

KRISTIANA HICKENBOTHAM PMHNP (NPI 1386511707) is an individual psychiatric/mental health provider in Terre Haute, Indiana, licensed in Indiana (71017270A) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386511707

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKRISTIANA HICKENBOTHAMCredential: PMHNP

Location Address620 8TH AVETerre Haute, IN 47804-2771

Mailing Address620 8th AveTerre Haute, IN 47804-2771 · (812) 231-8242 · Fax (812) 954-0141

Phone(812) 231-8242

Fax(812) 954-0141

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 21, 2025

Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1386511707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71017270A

620 8TH AVE, Terre Haute, IN 47804

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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

Kristiana Hickenbotham Pmhnp 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 ID4688167364

PECOS Enrollment IDI20251202001084

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 47804 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

CHERIE G HOWK PHD, FNP-BC

Nurse Practitioner (Family)