FREDDIE HICKS (APRN) – Family Nurse Practitioner, NPI 1407472020

FREDDIE HICKS (APRN) is a healthcare provider. based in Little rock afb, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 123341 (AR). The NPI Number for FREDDIE HICKS (APRN) is 1407472020

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
FREDDIE HICKS (APRN)
NPI
1407472020
Phone
(501) 987-2932
Address
1090 ARNOLD DR
Enumeration Date
19 June 2020
Last Update Date
9 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9044463764
Graduation Year
2019 (7 years ago)
PAC ID
1254740004
Group Practice PAC ID
9739405408
Professional Enrollment ID
I20210506001328
Address ID
AR722074639LI1818XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for FREDDIE HICKS (APRN)

  • 1090 ARNOLD DR

    LITTLE ROCK AFB, AR 720994933

    Phone: (501) 987-2932

    Type: Mailing

  • 155 HIGHWAY 190 S

    PRATTSVILLE, AR 721295001

    Phone: (501) 766-7648

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $410.

Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($124).

Total Amount

$410

General + Research + Ownership

Payments

4

Total payment records

General Amount

$410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2021-05-06

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
I20210506001328INurse PractitionerARTBD

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 72099)

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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: 9739405408View full group profile
NameSpecialtyState
Nuclear MedicineAR
Nurse PractitionerAR
General Surgery, Family Practice, Undersea And Hyperbaric Medicine, Vascular SurgeryLA
Nurse PractitionerAR
Emergency MedicineMO
Nurse PractitionerAR
Nurse PractitionerNH
-AR
Family PracticeAR

Reviews

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Frequently asked questions

What NPI should I save for FREDDIE HICKS (APRN)?
Save NPI 1407472020 if you need a stable reference for FREDDIE HICKS (APRN).
Does this profile mean FREDDIE HICKS (APRN) is currently active?
Yes — FREDDIE HICKS (APRN) appears active in the national provider directory.
Does FREDDIE HICKS (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for FREDDIE HICKS (APRN). Clinical services aligned with this taxonomy classification.
Does FREDDIE HICKS (APRN) practice in Arkansas?
You will see Little Rock Afb, Arkansas on file for FREDDIE HICKS (APRN) alongside any extra practice locations.
What if Little Rock Afb, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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