Nichole Hickman, NP in Bloomington, IN - Medicare Nurse Practitioner

Nichole Hickman, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Bloomington, Indiana. Her current practice location is 350 S Landmark Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 335-2434.

Nichole Hickman is licensed to practice in Indiana (license number 71001444A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003802067.

Contact Information

	Nichole Hickman, NP
	350 S Landmark Ave, Bloomington, IN 47403-5001
	(812) 335-2434
	(812) 335-7604

Map and Direction

Provider's Profile

Full Name	Nichole Hickman
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	350 S Landmark Ave, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003802067
Provider Enumeration Date: 09/26/2005
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 8123549037
Enrollment ID: I20250307002457

Medical Identifiers

Medical identifiers for Nichole Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003802067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	71001444A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Hickman allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Hickman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nichole Hickman, NP 350 S Landmark Ave, Bloomington, IN 47403-5001 Ph: (812) 335-2434	Nichole Hickman, NP 350 S Landmark Ave, Bloomington, IN 47403-5001 Ph: (812) 335-2434

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IN

Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700
Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900

Nichole Hickman, NP - Medicare Nurse Practitioner in Bloomington, IN