Individual provider Active NPI

Steven Hickey, APRN

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1710633441
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069748 Issued in TX
Practice address
1204 N Mound St
Nacogdoches, TX 75961-4027
Phone
(936) 564-4611
NPI assigned
Feb 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1069748 TX
Family Nurse Practitioner 363LF0000X 1069748 TX Primary

Addresses

Primary practice location

1204 N Mound St
Nacogdoches, TX 75961-4027

Mailing address

8553 Castleton Way
Tyler, TX 75703-4267
Phone (903) 245-8394

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221216001138 TX Practitioner - Nurse Practitioner 8628447448 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Nacogdoches LLCGroup PAC ID 3375821630, 27 clinicians
Angelina Emergency Medicine Associates PAGroup PAC ID 5395973564, 18 clinicians

Practice addresses (Care Compare)

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 637-8567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1069748TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Nacogdoches LLC CurrentSince Apr 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Bonita Creek Emergency Services PLLC CurrentSince Aug 11, 2022 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Nov 1, 2023 Accepting new patients
Angelina Emergency Medicine Associates PA Nurse Practitioner CurrentSince Apr 10, 2025 Accepting new patients

Locations

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1710633441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 CASTLETON WAY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034267",
            "telephone_number": "903-245-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-564-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "STEVEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1069748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.