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

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: August 16, 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
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

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

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.

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.

Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Nurse Practitioner (Family)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Physical Therapy Assistant
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Occupational Therapist
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)
1515 S UNIVERSITY BLVD
MOBILE, AL 36609
Occupational Therapist
1515 S UNIVERSITY BLVD
MOBILE, AL 36609

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.

What insurance does Latricia Hickenbottom accept?

Health plans from 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 30 days 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.