MRS. CICELY BAUGH HOOTEN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073003018

MRS. CICELY BAUGH HOOTEN (PMHNP-BC) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1089795 (AL). The NPI Number for MRS. CICELY BAUGH HOOTEN (PMHNP-BC) is 1073003018

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CICELY BAUGH HOOTEN (PMHNP-BC)
NPI
1073003018
Phone
(888) 970-9745
Address
445 DEXTER AVE STE 4050
Enumeration Date
15 May 2018
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
3971834573
Group Practice PAC ID
1052201100
Professional Enrollment ID
I20250221002932
Address ID
CO807371121JU900XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. CICELY BAUGH HOOTEN (PMHNP-BC)

  • 445 DEXTER AVE STE 4050

    MONTGOMERY, AL 361043867

    Phone: (888) 970-9745

    Fax: (720) 674-0156

    Type: Mailing

  • 7085 SYDNEY CURV

    MONTGOMERY, AL 361173509

    Phone: (334) 270-5502

    Fax: (334) 270-5503

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($99).

Total Amount

$463

General + Research + Ownership

Payments

7

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20191014000508INurse PractitionerALTBD
I20220104001383INurse PractitionerCOTBD
I20241216002086INurse PractitionerNCTBD
I20250221002932INurse PractitionerWATBD

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 36104)

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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: 1052201100View full group profile
NameSpecialtyState
Physician AssistantCO
Certified Registered Nurse Anesthetist (Crna)NE
Family PracticeCO
Family PracticeAZ
Physician AssistantNE
Certified Registered Nurse Anesthetist (Crna)NE
-CO
Family PracticeCO
General SurgeryCO
Physician AssistantNE

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. CICELY BAUGH HOOTEN (PMHNP-BC)?
NPI 1073003018 is assigned to MRS. CICELY BAUGH HOOTEN (PMHNP-BC) under the national enumeration system.
Is MRS. CICELY BAUGH HOOTEN (PMHNP-BC)'s NPI currently valid?
The extract we use shows MRS. CICELY BAUGH HOOTEN (PMHNP-BC) as active.
What does MRS. CICELY BAUGH HOOTEN (PMHNP-BC) treat or focus on?
Patients typically see MRS. CICELY BAUGH HOOTEN (PMHNP-BC) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. CICELY BAUGH HOOTEN (PMHNP-BC)?
The page summarizes Montgomery, Alabama for MRS. CICELY BAUGH HOOTEN (PMHNP-BC); expand the address list for detail.
What if Montgomery, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.