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
Mailing address102 E Main St Ste 4, Georgetown, KY 40324-1788

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