MS. TYRAH PATRICE HICKMAN NP
NPI 1932735727
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS

Active since March 12, 2020PECOS EnrolledAccepts Medicare Assignment
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 473-6441 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tyrah Patrice Hickman Np NPPES

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

MS. TYRAH PATRICE HICKMAN NP (NPI 1932735727) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (903798) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932735727
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. TYRAH PATRICE HICKMANCredential: NP
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address1825 S Norrell RdBolton, MS 39041-3103 · (601) 473-6441
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
NPI 1932735727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MS · 903798
3450 HIGHWAY 80 W, Jackson, MS 39209

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

Ms. Tyrah Patrice Hickman Np 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 ID8729404843
PECOS Enrollment IDI20200819001737
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.

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39209 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209

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 Tyrah Hickman's NPI number?

The NPI number for Tyrah Hickman is 1932735727. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Tyrah Hickman located?

Tyrah Hickman practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 473-6441.

What is Tyrah Hickman's specialty?

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

Is Tyrah Hickman enrolled in Medicare?

Yes. Tyrah Hickman 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.

Is Tyrah Hickman affiliated with any hospitals?

According to CMS data, Tyrah Hickman is affiliated with University Of Mississippi Med Center.

When was this NPI record last updated?

The NPPES record for Tyrah Hickman was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.