MATTHEW DAVID HICKS CRNA NPI 1316907959

NPI Information

  • NPI: 1316907959
  • Provider Name: MATTHEW DAVID HICKS, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1200 W WALNUT ST
    ROGERS, AR
    ZIP 72756
  • Phone: (479) 636-0200

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NPI Details

Matthew David Hicks, CRNA is a nurse anesthetist certified registered in Rogers, AR. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Matthew David Hicks, CRNA NPI is 1316907959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 W WALNUT ST
ROGERS, AR
ZIP 72756-546
Phone: (479) 636-0200
Fax: (479) 936-2912

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01938)
  • Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand (HCPCS:01810)
  • Anesthesia for other procedure on lower leg, ankle, and foot bones (HCPCS:01480)
  • Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance (HCPCS:01942)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01940)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance (HCPCS:01937)
  • Anesthesia for nerve block and injection procedure, prone position (HCPCS:01992)
  • Anesthesia for other procedure on skin of arms, legs, and front body (HCPCS:00400)
  • Anesthesia for other procedure on lower spine (HCPCS:00630)
  • Injection of anesthetic agent and/or steroid into lower back and leg nerve (HCPCS:64445)
  • Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back (HCPCS:00300)
  • Anesthesia for other procedure on forearm, wrist, or hand bones (HCPCS:01830)
  • Anesthesia for extensive surgery on spine (HCPCS:00670)
  • Injection of anesthetic agent and/or steroid into arm nerve bundle (HCPCS:64415)
  • Anesthesia for other procedure on top of arm bone and shoulder joint (HCPCS:01630)

The enumeration date for this NPI number is 3/27/2006 and was last updated on 12/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredCO1400ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1150123701MEDICAIDARKANSAS
2919212001MEDICAIDMISSOURI
3P00025044MEDICARE PINARKANSAS
45X254C741MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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