MRS. KELLI M HICKS (FNP-C) – Family Nurse Practitioner, NPI 1578340709

MRS. KELLI M HICKS (FNP-C) is a healthcare provider. based in Gordo, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1-135782 (AL). The NPI Number for MRS. KELLI M HICKS (FNP-C) is 1578340709

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLI M HICKS (FNP-C)
NPI
1578340709
Phone
(205) 454-8787
Address
793 COUNTY ROAD 57
Enumeration Date
12 September 2023
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057597800
Graduation Year
2023 (3 years ago)
PAC ID
0345697785
Group Practice PAC ID
3476846312
Professional Enrollment ID
I20231107002869
Address ID
AL354012029TU809XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. KELLI M HICKS (FNP-C)

  • 793 COUNTY ROAD 57

    GORDO, AL 354663844

    Phone: (205) 454-8787

    Type: Mailing

  • 809 UNIVERSITY BLVD E

    TUSCALOOSA, AL 354012071

    Phone: (205) 759-7111

    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: 2023-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231107002869INurse PractitionerALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4222$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 35466)

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Reviews

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Frequently asked questions

How is MRS. KELLI M HICKS (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. KELLI M HICKS (FNP-C) with NPI 1578340709.
Does the file indicate MRS. KELLI M HICKS (FNP-C) is practicing under active NPI?
Directory data currently reports MRS. KELLI M HICKS (FNP-C) as active.
What healthcare role does MRS. KELLI M HICKS (FNP-C) hold?
Scheduling teams often label MRS. KELLI M HICKS (FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. KELLI M HICKS (FNP-C) based?
MRS. KELLI M HICKS (FNP-C) is tied to Gordo, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about MRS. KELLI M HICKS (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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