Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tatiana Becerra Hickenbottom, PA-C

Individual provider Physician Assistant · NPI 1376019513

Tatiana Becerra Hickenbottom, PA-C is a Physician Assistant in Leander, Texas. Qualified in 2018, 8 years ago. Accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1361 Hero Way Ste 101
Leander, TX 78641-5579
Phone: (512) 244-2273
Fax: (512) 744-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1376019513
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2018
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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