Hailey Elizabeth Hicks, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP138160 Issued in TX

Practice address

506 Graham Dr Ste 200
Tomball, TX 77375-3346

Phone

(281) 255-3838

Fax

(832) 698-4231

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care United Medical Centers of America, LLPGroup PAC ID 5496839508, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

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 and National Provider Directory roles.

• Care United Medical Centers of America, LLP

  • Family Medicine Physician
  • Forney, TX
  • NPI 1457542680
  Medicare reassignment Care Compare group NPD
• Subei Medical PLLC

  • Urgent Care Clinic/Center
  • Arlington, TX
  • NPI 1265942098
  Medicare reassignment NPD

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

• Hunt Memorial Hospital District

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation
• Lake Pointe Operating Company, LLC

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1962973883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753346",
            "telephone_number": "281-255-3838",
            "fax_number": "832-698-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753346",
            "telephone_number": "281-255-3838",
            "fax_number": "832-698-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "HAILEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP138160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS BOARD OF NURSING",
            "identifier": "AP138160",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Hess
• HHD Vision & Associates, PLLC
• Linda Hong Hickey, BCBA, LBA
• Aimee Jane Hicks, CCC-SLP
• Gregory Hicks, PHARMD
• Lamarr Hicks
• Tammie Faulk Hicks, O.D.
• Audra Leann Hiemstra, D.D.S.
• Rayla Higginbotham, LPC ASSOCIATE
• Danielle Higgins

• Primary Care Nurse Practitioner in Tomball, TX
• Providers in Tomball, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.