Beverly J Hickman, MSN, RN, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP136810 Issued in TX

Practice address

2002 Timberloch PL Ste 150
The Woodlands, TX 77380-1198

Phone

(281) 419-4476

NPI assigned

Feb 28, 2018

Last updated

Jun 17, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Benchmark Home Health, LLC Home health agency, Montgomery, TX, CCN 679340
• Home Care Select Home health agency, Conroe, TX, CCN 747095

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Interoperability endpoints

• Direct secure messaging: beverly.hickman.1@26850.direct.athenahealth.com

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.

• Pallicare, Inc

  • Community Health Nurse Practitioner
  • Texarkana, TX
  • NPI 1316511884

  Adult Health

  Medicare reassignment Care Compare group NPD
• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment Care Compare group

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

• Beier and Associates, LLC

  dba Home Care Select

  • Home Health Agency
  • Conroe, TX
  • NPI 1407048465
  Care Compare affiliation
• Benchmark Home Health, LLC

  • Home Health Agency
  • Montgomery, TX
  • NPI 1356067029
  Care Compare affiliation

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1114428745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12381 LAKE VISTA DR",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185242",
            "telephone_number": "281-217-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 TIMBERLOCH PL STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801198",
            "telephone_number": "281-419-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "BEVERLY",
        "middle_name": "J",
        "credential": "MSN, RN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP136810",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP136810",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP136810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Ivan Herrero, D.M.D.
• Brian Herring, MHS, PA-C
• Judson Ryder Hess, P.T.
• Amanda Leigh Hester, SLP
• Indika Tharanganie Heva- Paththinige, MD
• Mia Hicks
• Madison Hidle
• Carol Ann Higginbotham, RN
• Kathleen Hill Wilson, CD
• Spring Hill

• Gerontology Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.