TRACY SCOTT HICKAM
NPI 1891654349
Occupational Therapist in Edwardsville, IL
About Tracy Scott Hickam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY SCOTT HICKAM (NPI 1891654349) is an individual occupational therapist in Edwardsville, Illinois, licensed in (056005745) and active in the NPI registry since January 2026. He is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracy Scott Hickam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Tracy Hickam's NPI number?
The NPI number for Tracy Hickam is 1891654349. It was assigned to this individual provider in the NPPES registry on January 20, 2026.
Where is Tracy Hickam located?
Tracy Hickam practices at 3210 Staunton Rd, Edwardsville, IL 62025. The listed phone number is (559) 563-5760.
What is Tracy Hickam's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Tracy Hickam enrolled in Medicare?
Yes. Tracy Hickam is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tracy Hickam was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.