Wilson Hickman, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11012197 Issued in FL

Practice address

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Phone

(813) 745-4673

NPI assigned

Aug 28, 2016

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

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 PA, MD, WI, GA4 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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Georgia Hospital Medicine Physicians LLCGroup PAC ID 7618459058, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
• Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania Hospitalist Group, LLC

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1558126342
  Medicare reassignment Care Compare group NPD
• Georgia Hospital Medicine Physicians LLC

  • Hospitalist Physician
  • Thomaston, GA
  • NPI 1164371415
  Medicare reassignment Care Compare group
• Adfinitas Health Palliative Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Honesdale, PA
  • NPI 1710734785
  Medicare reassignment NPD
• Advanced Inpatient Medicine Associates PC

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1396168589
  Medicare reassignment NPD
• Advanced Inpatient Medicine PC

  • Hospitalist Physician
  • Scranton, PA
  • NPI 1871725366
  Medicare reassignment NPD
• Mdics at Meritus Medical Center, LLC

  • Hospitalist Physician
  • Hagerstown, MD
  • NPI 1306258645
  Medicare reassignment NPD
• Washington Physician Services

  dba Washington Health System Physicians Group

  • Family Medicine Physician
  • Washington, PA
  • NPI 1316917669

  Nurse Practitioner

  Medicare reassignment NPD

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

• Scranton Hospital Company LLC

  dba Regional Hospital Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Scranton, PA
  • NPI 1740566595

  Hospital

  Care Compare affiliation
• Scranton Hospital Company LLC

  dba Regional Hospital of Scranton

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1881983039
  Care Compare affiliation
• Upson County Hospital Inc

  dba Upson Regional Medical Center

  • General Acute Care Hospital
  • Thomaston, GA
  • NPI 1659376630
  Care Compare affiliation

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1316493687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHINKAPIN CT",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465224",
            "telephone_number": "412-715-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 USF MAGNOLIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129416",
            "telephone_number": "813-745-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "WILSON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012197",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11012197",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "PA",
            "license": "SP016282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Edward Hiben, M.D.
• Chad Hichborn
• Lorna Hicher
• Elizabeth Michelle Hickey
• James David Hickman, MD
• Erin Hickmon
• Charissa Annette Hicks, AU.D.
• Eliana Hicks, ARNP
• Hannah Lynn Hicks
• Kimberly Hicks

• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.