CARRIE ANN HICKMON NP
NPI 1811550031
Nurse Practitioner - Family in Bentonville, AR

Q: What is Carrie Hickmon's NPI number?

The NPI number for Carrie Hickmon is 1811550031. It was assigned to this individual provider in the NPPES registry on April 15, 2019. The provider is also known as Carrie Ann Layton.

Q: What is Carrie Hickmon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carrie Hickmon was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 15, 2019PECOS Enrolled

609 SW 8TH ST FL 6, BENTONVILLE, AR 72712(337) 991-9276(337) 943-0846 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Carrie Ann Hickmon Np NPPES

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

CARRIE ANN HICKMON NP (NPI 1811550031) is an individual family provider in Bentonville, Arkansas, licensed in Arkansas (A006183) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811550031

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARRIE ANN HICKMONCredential: NP

Location Address609 SW 8TH ST FL 6Bentonville, AR 72712-7886

Mailing Address1509 Dulles DrLafayette, LA 70506-3718 · (337) 991-9276 · Fax (337) 943-0846

Phone(337) 991-9276

Fax(337) 943-0846

Sole ProprietorNo

Enumeration DateApril 15, 2019

✔ NPI 1811550031 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 AR · A006183

609 SW 8TH ST FL 6, Bentonville, AR 72712

Open in Google Maps ↗

Other Names 1

Other Name (5)Carrie Ann Layton

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Ann Hickmon Np 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 72712 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier14 claims377 services$5.96 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier14 claims8,880 services$0.29 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier14 claims14 services$64.25 avg. paid by Medicare

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

1 supplier30 claims30 services$8.45 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier60 claims60 services$34.25 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

2 suppliers18 claims18 services$46.05 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 5

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

LANCE C. SHULTZ NP

Nurse Practitioner (Gerontology)