Individual provider Active NPI

Paul Michael Hickey, AGACNP

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1871478610
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1208428 Issued in TX
Practice address
7570 N Beach St Ste 106
Fort Worth, TX 76137-7800
Phone
(817) 865-3939
NPI assigned
Aug 11, 2025
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1208428 TX Primary

Addresses

Primary practice location

7570 N Beach St Ste 106
Fort Worth, TX 76137-7800

Mailing address

7570 N Beach St Ste 106
Fort Worth, TX 76137-7800
Phone (817) 865-3939

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
I20251005000144 TX Practitioner - Nurse Practitioner 9739688508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 Gemini Cir
Suite 404
Homewood, AL 35209-5850

6825 Woodstock Rd
Fort Worth, TX 76116-9444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant Arthritis Center LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

7570 N Beach St
Ste 106
Fort Worth, TX 76137
Phone (817) 865-3939

4375 Booth Calloway Rd
Ste 208
Richland Hills, TX 76180
Phone (817) 865-3939

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1871478610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 N BEACH ST STE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377800",
            "telephone_number": "817-865-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 N BEACH ST STE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377800",
            "telephone_number": "817-865-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1208428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.