MS. TYRAH PATRICE HICKMAN NP
NPI 1932735727
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Tyrah Hickman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39213
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
Spring Hill, TN 37174
- Reassigned Medicare billing, Tennessee enrollment
- 985 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MSPhysician 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.
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.
JACKSON, MS 39209
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.
Which organizations bill Medicare for Tyrah Hickman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyrah Hickman reassigns Medicare benefits to 3 organizations: State Of Mississippi- University Of Mississippi Medical Center (Jackson, MS), Fast Pace Mississippi, PLLC (Ripley, MS) and Fast Pace Medical Clinic PLLC (Spring Hill, TN). 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 Tyrah Hickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyrah Hickman accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Tyrah Hickman 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.
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.
# Ms. Tyrah Patrice Hickman, NP · NPI 1932735727
Psychiatric/Mental Health physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since March 12, 2020.
## Identity
- **NPI:** 1932735727 (Entity type: Individual)
- **Enumerated:** March 12, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 903798 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3450 HIGHWAY 80 W, Jackson, MS 39209-7201
- **Phone:** (601) 473-6441
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi- University Of Mississippi Medical Center (NPI 1194930693, Jackson, MS); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS); Fast Pace Medical Clinic PLLC (NPI 1134452865, Spring Hill, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1932735727) · Data from the CMS NPPES public registry.