Angie D Hicks-master
ANP | Nurse Practitioner - Psych/Mental Health | 20+ years Exp
920 East Medical Drive, Manila
Arkansas, 72442
810-570-0358
May or may not accept Medicare Nurse Anesthetist in Manila, Arkansas.Angie D Hicks-master is a Manila, Arkansas based nurse practitioner with 20 years of experience in Psych/Mental Health. She completed her graduation in 2005. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Angie D Hicks-master is APN0000017515 for Psych/Mental Health in Tennessee. Her current practice location is 920 East Medical Drive, Manila. Patients can reach her at 810-570-0358 or can fax her at 870-570-0359. Angie D Hicks-master is ANP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1255405353.
Angie D Hicks-master provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Angie D Hicks-master speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Angie D Hicks-master |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | ANP |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 920 East Medical Drive, Manila, Arkansas, 72442 |
| Phone: | 810-570-0358 |
| Fax: | 870-570-0359 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5496858110 |
| Enrollment ID: | I20070316000197 |
| NPI Number: | 1255405353 |
| NPI Enumeration Date: | 20 Nov, 2006 |
| NPI Last Update On: | 28 May, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angie D Hicks-master are as mentioned below.
| License Number | Specialization | State | Status | |
| APN0000017515 | Psych/Mental Health | Tennessee | Primary | |
| A002923 | Psych/Mental Health | Arkansas | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Angie D Hicks-master is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Delta Behavioral Health, Llc (6406280007) | 5 |
| Foundation A Wellness Practice, Llc (2668718172) | 6 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Angie D Hicks-master such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2007012778 | Other | Missouri | MO STATE LICENSE |
| A002923 | Other | Arkansas | AR STATE LICENSE |
| 17515 | Other | Tennessee | TN STATE LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Angie D Hicks-master P.o. Box 717, Manila, Arkansas |
| Zip: | 72442 |
| Phone Number: | 870-570-0358 |
| Fax Number: | 870-570-0359 |
Patients can reach Angie D Hicks-master at
920 East Medical Drive, Manila, Arkansas or can
call to book an appointment on 810-570-0358.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.