Michael Hickman, FNP-BC – Family Nurse Practitioner

Key facts

NPI: 1043741176
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 6914314-4405 (UT)
Practice address: 255 E 300 N
Gunnison, UT 84634-7738
Phone: (435) 528-6000
NPI assigned: Mar 21, 2017
Sex: Male
Sole proprietor: No

Organizations & group practices 4

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.

Signify Health, LLC General Practice Physician · Dallas, TX · NPI 1689158487

Medicare reassignment NPD UT
Utah Valley Homecare LLC In Home Supportive Care Agency · Orem, UT · NPI 1164959029

NPD Authorized official
State of Utah, Department of Health Prison Health Clinic/Center · Salt Lake City, UT · NPI 1770984379

NPD (past)
Utah State Department of Corrections Prison Health Clinic/Center · Salt Lake City, UT · NPI 1376336933

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260227002453	UT	Practitioner - Nurse Practitioner	0143701086	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
6914314-4405	UT	MD	Family Nurse Practitioner
2017-PCA-UT000567	UT	MD	Personal Care Attendant

Practice roles

Organization	Status	New patients
Signify Health, LLC	Current since Jan 14, 2026	Accepting new patients
Utah Valley Homecare LLC	Current since Jul 24, 2022	Accepting new patients
State of Utah, Department of Health	Past since Dec 24, 2023	Accepting new patients
Utah State Department of Corrections	Past since Dec 24, 2023	Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

907 S Orem Blvd
#B
Orem, UT 84058
Phone (801) 400-4739

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	6914314-4405	UT	Yes
Personal Care Attendant	3747P1801X	2017-PCA-UT000567	UT

Addresses

Primary practice location

255 E 300 N
Gunnison, UT 84634-7738

Mailing address

1205 N Wagon Way
Spanish Fork, UT 84660-6265
Phone (801) 885-4916

Other providers in Gunnison, UT

All providers in Gunnison, UT · Family Nurse Practitioner in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.