LATRICIA DELORIS HICKENBOTTOM (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700343811
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for LATRICIA DELORIS HICKENBOTTOM (CRNP)
Meadow Lane, Sunrise Estates Mobile Home Park, Stacy, Chisago County, Minnesota, United States
MOBILE, AL 366183603
Phone:
Type: Mailing
University Boulevard, Park Forest, Mobile, Mobile County, Alabama, 36688, United States
MOBILE, AL 366092958
Phone: (251) 343-9600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 182 Open Payments records for all available years, with a total value of $3,004.
Total Amount is formed as General ($3,004) + Research ($0) + Ownership ($0) = $3,004.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($737).
Total Amount
$3,004
General + Research + Ownership
Payments
182
Total payment records
General Amount
$3,004
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $737 |
| Alkermes, Inc. | $485 |
| ABBVIE INC. | $381 |
| Otsuka America Pharmaceutical, Inc. | $297 |
| ITI, Inc. | $252 |
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: 2025-05-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190423001756 | I | Nurse Practitioner | AL | TBD |
| I20250527000802 | I | Nurse Practitioner | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 39 | 12 | $0 |
Insurance plans in this area (ZIP 36618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | TN | |
| - | AL | |
| Nurse Practitioner | AL |
Reviews
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