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MRS. LISA M HICKS CPNP
NPI 1497021414
Nurse Practitioner - Pediatrics in Dothan, AL

Active since March 23, 2012PECOS Enrolled
126 CLINIC DR, DOTHAN, AL 36303(334) 793-1881(334) 340-5918 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2017, Apr 14, 2017, Mar 31, 2017 (3 updates tracked since 2017).

About Mrs. Lisa M Hicks Cpnp NPPES

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

MRS. LISA M HICKS CPNP (NPI 1497021414) is an individual pediatrics provider in Dothan, Alabama, licensed in Alabama (1-109237) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497021414
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. LISA M HICKSCredential: CPNP
Location Address126 CLINIC DRDothan, AL 36303-1980
Mailing Address126 Clinic DrDothan, AL 36303-1980 · (334) 793-1881 · Fax (334) 340-5918
Phone(334) 793-1881
Fax(334) 340-5918
Sole ProprietorNo
Enumeration DateMarch 23, 2012
Last NPPES UpdateJuly 6, 20173 updates tracked since enumeration
✔ NPI 1497021414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AL · 1-109237
126 CLINIC DR, Dothan, AL 36303
Open in Google Maps ↗

Other Identifiers 1

Medicaid196555AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa M Hicks Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lisa Hicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dothan Pediatric Clinic, P. A.
Same address
Pediatrics
126 CLINIC DR
Dothan, AL 36303
  • Reassigned Medicare billing, Alabama enrollment
  • 38 clinicians in this Medicare group
NPI 1376508788 (334) 793-1881

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 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

DR. LESLEY CATHRYN MARSAL PSY.D.
Psychologist
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
KRISTINE CAMPBELL SAWYER MD
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
ELIZABETH AMY MARSHALL C.R.N.P.
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
DOTHAN PEDIATRIC CLINIC, P. A.
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
CASSANDRA STEIN NOSSER M.D.
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
DELANCEY FOWLER
Nurse Practitioner (Family)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
CHELSEA INGRAM CPNP
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
TERA R. KNIGHTON C.P.N.P.
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881

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 Lisa Hicks's NPI number?

The NPI number for Lisa Hicks is 1497021414. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Where is Lisa Hicks located?

Lisa Hicks practices at 126 Clinic Dr, Dothan, AL 36303. The listed phone number is (334) 793-1881.

What is Lisa Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lisa Hicks enrolled in Medicare?

Yes. Lisa Hicks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Hicks reassigns Medicare benefits to Dothan Pediatric Clinic, P. A. (Dothan, AL). 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 Lisa Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Hicks accept?

Health plans from Ambetter Health, Ambetter of Alabama and Blue Cross and Blue Shield of Alabama list Lisa Hicks 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 Lisa Hicks was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.