Annelies Hickerson, MD
Surgery Physician · Fort Campbell, KY
Annelies Hickerson, MD is a surgery physician with a practice address in Fort Campbell, Kentucky, and NPI 1629469473, issued on Feb 16, 2015. Check the license on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Annelies Hickerson
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- 0101262158 VA
5771767 ID
Self-reported in NPPES; status is on the state search - Practice location
- 650 Joel Dr, Fort Campbell, KY 42223
- Phone
- (270) 412-6594
- Enumerated
- Feb 16, 2015
- Record last updated
- Aug 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20250905002451); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 459 in Kentucky → Look up another NPI →
Also registered at 650 Joel Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stephanie Adams, PHARM.D.Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1407932528
- Amanda Adamson, LMSWStudent in an Organized Health Care Education/Training Program1184518334
- Thomas Agnew, FNP-BCFamily Nurse Practitioner1912478280
- Matthew Ahola, DPTPhysical Therapist1194477885
- Randall Aldrich, LCSW, LCASSocial Worker1023295417
- Richard AlesCertified Registered Nurse Anesthetist1215903679
Verify Annelies Hickerson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical LicensureCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- St Lukes Clinic-Treasure Valley LLCBoise, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Annelies Hickerson among 459 surgery physician records in Kentucky
Annelies Hickerson, MD is one of 459 surgery physician records with a practice address in Kentucky. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 79% of them.
- NPI issued2015 · 79% of these records are older, 18% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2015 · median 2005 among the 292 with a school on file
- Record last updated2025 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 surgery physician records list a practice address in Fort Campbell
They are 17 of the 1,294 NPPES records with a practice address in Fort Campbell, and 459 surgery physician records in Kentucky.
All 459 in Kentucky → Every provider in Fort Campbell → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Morgan Barron, M.D.Fort Campbell, KY 422231891118790
- Ian Cassaday, D.O.Fort Campbell, KY 422231669784658
- Paul Cordts, M.D.Fort Campbell, KY 422231801875042
- Joanna Crossett, M.D.Fort Campbell, KY 422231437461480
- James Elder, MDFort Campbell, KY 422231609926740
- Christina Hahn, MDFort Campbell, KY 422231730233446
- Dawn Harold, M.D.Ft Campbell, KY 422231376748376
- Chonna Kendrick, MDFort Campbell, KY 422231124344957
Common questions
What is Annelies Hickerson, MD's NPI number?
Annelies Hickerson, MD's National Provider Identifier (NPI) is 1629469473, issued on Feb 16, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Annelies Hickerson, MD located?
The NPPES record lists a practice address at 650 Joel Dr, Fort Campbell, KY, 42223. Phone: (270) 412-6594. Providers update this record themselves, so call before visiting.
How can I verify Annelies Hickerson, MD's license?
Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.