Wanda Denise Hicks, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1090842 Issued in AL

Practice address

601 Vallier CT
Satsuma, AL 36572-2832

Phone

(251) 408-7568

Fax

(251) 272-3098

NPI assigned

Oct 6, 2006

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TN, TX, CA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Indian Health Services, Inc.Group PAC ID 9830085075, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Indian Health Services, Inc.

  • Primary Care Clinic/Center
  • Arcata, CA
  • NPI 1497751572
  Medicare reassignment Care Compare group
• Alabama Mso LLC

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1740073980
  Medicare reassignment NPD
• Eastern Hospital Medicine PC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1104859123
  Medicare reassignment NPD
• Inpatient Consultants of Alabama, Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1235238916
  Medicare reassignment NPD
• Russellville Hospital Inc

  dba Russellville Hospital Medical Clinic

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1780232314
  Medicare reassignment NPD
• Hospital Medicine Services of TX, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1881392363
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  AL

  Medicare reassignment NPD
• Hicks Home-Based Primary Care, LLC

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1679118525
  Authorized official Same address or phone
• Eastern Hospital Medicine PC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1982418141
  NPD
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303
  NPD
• Russellville Hospital Inc

  dba Russellville Hospital Family Care First Clinic

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1508491093
  NPD
• Russellville Hospital Inc

  dba Russellville Hospital Medical Clinic

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1033671631
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1033206545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E I65 SERVICE RD S STE 106",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063101",
            "telephone_number": "251-408-7568",
            "fax_number": "251-272-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VALLIER CT",
            "city": "SATSUMA",
            "state": "AL",
            "postal_code": "365722832",
            "telephone_number": "251-408-7568",
            "fax_number": "251-272-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "WANDA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1090842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Brown
• Brightman Blonzo Coker Jr., RPH
• Conner & McConaghy Inc (C & M Vital Care)
• Tammy Parmer Daniel, PHT
• Mia Hanke
• Byron Hughes Howell, RPH
• Infinity Infusion Nursing LLC
• Brenda Kornman Knight
• Magnolia Medical Supply LLC
• Caye Margaret McConaghy, RPH, PHARMD

• Family Nurse Practitioner in Satsuma, AL
• Providers in Satsuma, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.