Jefferson Lewis Hicks, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0004557 Issued in CO

Practice address

10103 Ridgegate Pkwy Ste 306
Lone Tree, CO 80124-5525

Phone

(303) 225-8120

Fax

(303) 225-8130

NPI assigned

Aug 15, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthone Clinic Services-Surgical Specialties LLCGroup PAC ID 2365537768, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
• AdventHealth Parker Hospital, Parker, CO, CCN 060114

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jefferson.hicks@hca3.eclinicaldirectplus.com

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

• Healthone Clinic Services-Surgical Specialties LLC

  • Surgery Physician
  • Denver, CO
  • NPI 1639376585
  Medicare reassignment Care Compare group

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

• HCA Healthone LLC

  dba HCA HealthONE Sky Ridge Hospital

  • General Acute Care Hospital
  • Lone Tree, CO
  • NPI 1659325629
  Care Compare affiliation
• Portercare Adventist Health System

  dba AdventHealth Breast Care Center Southlands

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1083461438
  Care Compare affiliation
• Portercare Adventist Health System

  dba Southlands Breast Care & Therapy Center

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1265072706
  Care Compare affiliation
• Portercare Adventist Health System

  dba Adventhealth Parker

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1386651297
  Care Compare affiliation
• Portercare Adventist Health System

  dba Adventhealth Sports Med & Rehab Meridian

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1457148140
  Care Compare affiliation
• Portercare Adventist Health System

  dba Southlands Emergency/Urgent Care

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1740820356
  Care Compare affiliation
• Portercare Adventist Health System

  dba Southlands Breast Care & Therapy Center

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1922648534
  Care Compare affiliation

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083013064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY",
            "address_2": "STE 306",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-225-8120",
            "fax_number": "303-225-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 306",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-225-8120",
            "fax_number": "303-225-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JEFFERSON",
        "middle_name": "LEWIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "0004557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Liliana Hernandez
• Jerrell Waika Herod, M.D.
• Delia J Herrera, PT
• Helen Bartley Heywood, RN
• Carolyn Hicks
• Nadine 'Dina' Elias Hildebran, PSY.D.
• Megan Ann Hildner, AUD
• Virginia E Hinds, PA-C
• Laurie Ann Hintz, MA
• Laura Elizabeth Hirsch, LCSW

• Surgical Physician Assistant in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.