ANGIE D HICKS-MASTER (ANP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255405353
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for ANGIE D HICKS-MASTER (ANP)
PO BOX 72
MANILA, AR 724420072
Phone: (870) 243-3960
Fax: (870) 561-4913
Type: Mailing
310 E Lake St
Manila, AR 72442
Phone: (870) 243-3960
Fax: (870) 561-4913
Type: Location
920 EAST MEDICAL DRIVE
MANILA, AR 72442
Phone: (810) 570-0358
Fax: (870) 570-0359
Type: Location
P.O. BOX 717
MANILA, AR 72442
Phone: (870) 570-0358
Fax: (870) 570-0359
Type: Mailing
Germantown Court, Cordova, Memphis, Shelby County, Tennessee, 38018, United States
CORDOVA, TN 380184275
Phone: (901) 752-4900
Fax: (901) 752-4902
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $916.
Total Amount is formed as General ($916) + Research ($0) + Ownership ($0) = $916.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($172).
Total Amount
$916
General + Research + Ownership
Payments
51
Total payment records
General Amount
$916
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-08-26
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 |
|---|---|---|---|---|
| I20070316000197 | I | Nurse Practitioner | AR | TBD |
| I20130826000960 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 36 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 33 | 33 | $0 |
Insurance plans in this area (ZIP 72442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | AR | |
| Mental Health Counselor | AR | |
| Clinical Social Worker | AR | |
| Psychiatry, Neuropsychiatry | TN | |
| Clinical Social Worker | AR |
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