MIRANDA SUE HICKS NP-C
NPI 1528631538
Nurse Practitioner - Family in Jackson, TN

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
55.14/100
CMS Quality Rating
367 HOSPITAL BLVD, JACKSON, TN 38305(731) 541-6834(731) 541-7967 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miranda Sue Hicks Np-c NPPES

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

MIRANDA SUE HICKS NP-C (NPI 1528631538) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (29208) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528631538
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA SUE HICKSCredential: NP-C
Location Address367 HOSPITAL BLVDJackson, TN 38305-2080
Mailing Address1804 Highway 45 Byp Ste 604Jackson, TN 38305-4403 · (731) 660-7971 · Fax (731) 660-8739
Fax(731) 541-7967
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 19, 2021
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
NPI 1528631538 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 TN · 29208
367 HOSPITAL BLVD, Jackson, TN 38305

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

Miranda Sue Hicks 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 ID9537565221
PECOS Enrollment IDI20210903001111
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
339 services301 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality38.73
Improvement Activities40
Cost54.43

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers36 claims36 services$41.82 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers191 claims191 services$99.67 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers109 claims219 services$38.77 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers33 claims134 services$23.18 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers72 claims72 services$64.45 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers182 claims182 services$20.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
367 HOSPITAL BLVD
JACKSON, TN 38305
Clinic/Center (Oncology)
367 HOSPITAL BLVD, 4TH FLOOR
JACKSON, TN 38305
General Acute Care Hospital
367 HOSPITAL BLVD
JACKSON, TN 38305
Nurse Practitioner
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305

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 Miranda Hicks's NPI number?

The NPI number for Miranda Hicks is 1528631538. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Miranda Hicks located?

Miranda Hicks practices at 367 Hospital Blvd, Jackson, TN 38305. The listed phone number is (731) 541-6834.

What is Miranda Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Miranda Hicks enrolled in Medicare?

Yes. Miranda Hicks 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 Miranda Hicks accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Miranda 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.

Is Miranda Hicks affiliated with any hospitals?

According to CMS data, Miranda Hicks is affiliated with Jackson-Madison County General Hospital, West Tennessee Healthcare Milan Hospital and Dyersburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Miranda Hicks was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.