NPIMap

Individual provider Active NPI

Rebekah E Hicks, PA-C

  • Physician Assistant
  • Manchester, NH
National Provider Identifier
1003042060
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2818 Issued in NH
Practice address
138 Webster Street
Manchester, NH 03104
Phone
(603) 645-5977
Fax
(603) 645-5980
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01346 WV
Physician Assistant 363A00000X 2818 NH Primary

Addresses

Primary practice location

138 Webster Street
Manchester, NH 03104

Mailing address

P.O. Box 3300
Manchester, NH 03105
Phone (603) 645-5977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221108002022 WV Practitioner - Physician Assistant 2668763269 Reassigns benefits to 1 organization
I20240719002406 NH Practitioner - Physician Assistant 2668763269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jwalant Vadalia MD PCGroup PAC ID 5698666337, 16 clinicians

Practice addresses (Care Compare)

138 Webster St
Manchester, NH 03104-2512
Phone (603) 645-5977

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309

Merit-based Incentive Payment System (MIPS)

Final score
50.01 of 100Reported as group
Quality
7.83
Improvement activities
40
Cost
80.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1346WVMDFamily Medicine Physician
01346WVMDPhysician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1003042060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3300",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03105",
            "telephone_number": "603-645-5977",
            "fax_number": "603-645-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 WEBSTER STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-645-5977",
            "fax_number": "603-645-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "REBEKAH",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01346",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.