Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shirley Beth Hicks

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1265034375

Mrs. Shirley Beth Hicks is a Nurse Practitioner in Georgetown, Kentucky. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020

Practice location Address checks out

102 E Main St Ste 4
Georgetown, KY 40324-1788
Phone: (502) 517-9902
Fax: (859) 399-6824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3015248 (KY)

Record details

NPI number1265034375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2020
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Georgetown