MS. WANDA DENISE HICKS (CRNP) – Family Nurse Practitioner, NPI 1033206545

MS. WANDA DENISE HICKS (CRNP) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1090842 (AL). The NPI Number for MS. WANDA DENISE HICKS (CRNP) is 1033206545

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. WANDA DENISE HICKS (CRNP)
NPI
1033206545
Phone
(251) 432-4117
Address
PO BOX 2048
Enumeration Date
6 October 2006
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2058383000
Graduation Year
2009 (17 years ago)
PAC ID
3274633292
Group Practice PAC ID
8325044597
Professional Enrollment ID
I20070705000194
Address ID
AL352353401BI50XXXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MS. WANDA DENISE HICKS (CRNP)

  • Mobile Post Office, 250, Saint Joseph Street, Downtown, Mobile County Commission District 1, Mobile, Mobile County, Alabama, 36601, United States

    MOBILE, AL 366522048

    Phone: (251) 432-4117

    Fax: (251) 964-4012

    Type: Mailing

  • MLK JR NB at Meaher Ave, Doctor Martin L. King Junior Drive, Mobile County Commission District 1, Prichard, Mobile County, Alabama, 36610, United States

    MOBILE, AL 366035341

    Phone: (251) 432-4117

    Fax: (251) 964-4012

    Type: Location

  • 1111 E I65 SERVICE RD S STE 106

    MOBILE, AL 366063101

    Phone: (251) 408-7568

    Fax: (251) 272-3098

    Type: Mailing

  • 601 VALLIER CT

    SATSUMA, AL 365722832

    Phone: (251) 408-7568

    Fax: (251) 272-3098

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070705000194INurse PractitionerALTBD
I20211201003120INurse PractitionerTNTBD
I20260130003356INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36652)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325044597View full group profile
NameSpecialtyState
Nurse PractitionerAL
Internal MedicineAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How do payers reference MS. WANDA DENISE HICKS (CRNP)?
For MS. WANDA DENISE HICKS (CRNP), use NPI 1033206545 as the unique 10-digit identifier.
Would MS. WANDA DENISE HICKS (CRNP) appear as active to a payer?
You can treat MS. WANDA DENISE HICKS (CRNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MS. WANDA DENISE HICKS (CRNP)'s focus?
For MS. WANDA DENISE HICKS (CRNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. WANDA DENISE HICKS (CRNP)?
Directory geography for MS. WANDA DENISE HICKS (CRNP) centers on Mobile, Alabama.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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