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LATRICIA DELORIS HICKENBOTTOM CRNP
NPI 1700343811
Nurse Practitioner - Psychiatric/Mental Health in Mobile, AL

Active since February 25, 2019PECOS EnrolledAccepts Medicare Assignment
1515 S UNIVERSITY BLVD, MOBILE, AL 36609(251) 343-9600 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, Oct 21, 2019, Feb 25, 2019 (3 updates tracked since 2019).

About Latricia Deloris Hickenbottom Crnp NPPES

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

LATRICIA DELORIS HICKENBOTTOM CRNP (NPI 1700343811) is an individual psychiatric/mental health provider in Mobile, Alabama, licensed in Alabama (1-134340) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700343811
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLATRICIA DELORIS HICKENBOTTOMCredential: CRNP
Location Address1515 S UNIVERSITY BLVDMobile, AL 36609-2958
Mailing Address3581 Meadow Ln EMobile, AL 36618-3603 · Fax (251) 235-3189
Phone(251) 343-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 25, 2019
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1700343811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AL · 1-134340
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1-134340 (AL)
1515 S UNIVERSITY BLVD, Mobile, AL 36609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latricia Deloris Hickenbottom Crnp 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 ID7719229731
PECOS Enrollment IDI20190423001756
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 Reassignments

5

Medicare enrollment records show Latricia Hickenbottom reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Altapointe Health Systems, Inc.
2.8 mi
Family Medicine
6908 PROVIDENCE PARK DR S
Mobile, AL 36695
  • Reassigned Medicare billing, Alabama enrollment
  • 214 clinicians in this Medicare group
NPI 1487154407 (251) 450-2211
Alabama Post-Acute Medical Service 1 PC
222 mi
Hospitalist
1720 KNOWLES RD
Phenix City, AL 36869
  • Reassigned Medicare billing, Alabama enrollment
  • 53 clinicians in this Medicare group
NPI 1073052403 (305) 447-4150
Grow Healthcare Group PA
591 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado enrollment
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Cs Pacs 3 Southeast, LLC
604 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Alabama enrollment
  • 51 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Nm Pacs 2 LLC
1,109 mi
Hospitalist
10101 LAGRIMA DE ORO RD NE
Albuquerque, NM 87111
  • Reassigned Medicare billing, Alabama enrollment
  • 49 clinicians in this Medicare group
NPI 1366928749 (865) 693-1000

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 36609 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE ANNE SQUIRES CRNP
Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 287-8886
ASHLEY ELIZABETH HARDEE CRNP, FNP-C
Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 343-9600
STACEY LANHAM CRNP
Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 343-9600
NATALIE WILLIAMS CRNP
Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 380-3810
CRAIG L. SMITH PTA
Physical Therapy Assistant
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 343-9600
MADELYN ROSE REED OTR/L
Occupational Therapist
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 343-9600
SAAD HEALTHCARE CLINIC LLC
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 343-9600
LESLEY ANNE DRUCKENMILLER OT
Occupational Therapist
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Mobile County (251) 343-9600

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 Latricia Hickenbottom's NPI number?

The NPI number for Latricia Hickenbottom is 1700343811. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Latricia Hickenbottom located?

Latricia Hickenbottom practices at 1515 S University Blvd, Mobile, AL 36609. The listed phone number is (251) 343-9600.

What is Latricia Hickenbottom's specialty?

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

Is Latricia Hickenbottom enrolled in Medicare?

Yes. Latricia Hickenbottom 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.

Which organizations bill Medicare for Latricia Hickenbottom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latricia Hickenbottom reassigns Medicare benefits to 5 organizations: Altapointe Health Systems, Inc. (Mobile, AL), Alabama Post-Acute Medical Service 1 PC (Phenix City, AL), Grow Healthcare Group PA (Miami, FL), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and Nm Pacs 2 LLC (Albuquerque, NM). Each 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 Latricia Hickenbottom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latricia Hickenbottom accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Latricia Hickenbottom 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 Latricia Hickenbottom was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.