Tracy Hicks, APRN, FNP/PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP125290 Issued in TX

Practice address

618 N High St Ste 3
Longview, TX 75601-5377

Phone

(903) 234-8755

NPI assigned

Mar 10, 2014

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• C-Trilogy Comprehensive Clinical Care, PLLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Longview, TX
  • NPI 1730554999
  Medicare reassignment Authorized official
• Behavioral Health of North Texas LLP

  • Prescribing (Medical) Psychologist
  • Dallas, TX
  • NPI 1699328195
  Medicare reassignment NPD
• Longview Wellness Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1942269493
  Medicare reassignment NPD
• Longview Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1255137659
  NPD
• Longview Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1932598752
  NPD
• Longview Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1447910542
  NPD (past)
• Special Health Resources for Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1750769238
  NPD (past)
• Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1043209919
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1215353651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N HIGH ST STE 3",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015377",
            "telephone_number": "903-234-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N HIGH ST STE 3",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015377",
            "telephone_number": "903-234-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "APRN, FNP/PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TX",
            "license": "705910",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125290",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP125290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamri Hickerson, MPAS, PA-C
• Hickory Longview LLC
• Amy Hicks, MSN FNP-C
• Kimberly Hicks
• Latrinda Jeniece Hicks
• Lana Lynne Higginbotham, M. ED., CCC-SLP
• Higgs Foster Care
• Highland Park Senior Care 3, LLC
• Highland Pines Nursing Home, LTD
• Pamela Dawn Hignight, MS, RD, LD

• Psychiatric/Mental Health Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.