MS. GLENDA FAYE HARRIS HICKMAN (ARNP) – Nurse Practitioner, NPI 1518027614
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,299 NURSE PRACTITIONER in SC
Provider Addresses for MS. GLENDA FAYE HARRIS HICKMAN (ARNP)
6804, Cecelia Drive, New Port Richey, Pasco County, Florida, 34653, United States
NEW PORT RICHEY, FL 346534935
Phone: (727) 232-0644
Fax: (888) 546-0488
Type: Mailing
704 S HILL ST
TIMMONSVILLE, SC 291611917
Phone: (864) 735-4691
Type: Mailing
101 WILLIAM H JOHNSON ST STE 600
FLORENCE, SC 295062773
Phone: (843) 777-7083
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: 2024-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240322003196 | I | Nurse Practitioner | SC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34653)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | SC | |
| - | SC | |
| - | NY | |
| Internal Medicine, Gastroenterology | TX | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | SC | |
| - | SC | |
| Family Practice, Peripheral Vascular Disease | PA | |
| Physician Assistant | SC | |
| Emergency Medicine | SC | |
| Emergency Medicine | NC |
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