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

Q: 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.

Q: What is Lisa Hicks's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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Other Identifiers 1

Medicaid196555AL

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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.

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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