Look up the most recent NPI and PECOS records

Kaitlin Hicks

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

PECOS Enrollment

Based on the most recent information from CMS, provider Kaitlin Hicks is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1235957788
Provider Type
Individual
Full Name
Hicks, Kaitlin
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/2/2024
Last Updated
6/13/2025

Contact Information

Practice Location

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

(407) 647-2346

Unlisted Fax

Mailing Location

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

(407) 647-2346

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11035630 Florida

Kaitlin Hicks

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Coffman, Xiomara Elisa

Wasielewski, Whitley M

Insight Therapeutic Services, Inc.

Parsons, Kaitlin

Buchanan, Renee Denise

Denby, Allison

Smith, Mary Ann

Johnson, Sharanna S

Pope, Crystal

Merchant, Serey Karan