Active NPI
Caitlin Hickok, RN, FNP-C
- Nurse Practitioner
- Ronan, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 160707
- Practice address
- 126 6TH Ave SW
Ronan, MT 59864-2600 - Phone
- (406) 676-3600
- Fax
- (406) 676-3738
- NPI assigned
- Dec 23, 2015
- Last updated
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN250202 | GA | |
| Nurse Practitioner | 363L00000X | 160707 | MT | Primary |
| Registered Nurse | 163W00000X | RN250202 | GA |
Addresses
Primary practice location
126 6TH Ave SW
Ronan, MT 59864-2600
Mailing address
2819 Great Northern Loop
Missoula, MT 59808-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Community Hospital
Practice addresses (Care Compare)
104 Rufus LN
Polson, MT 59860-8903
Phone (406) 883-2555
107 Ridgewater Dr
Polson, MT 59860-8977
Phone (406) 883-3737
126 6TH Ave SW
Ronan, MT 59864-2600
Phone (406) 676-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN250202 | GA | MD | Nurse Practitioner |
| 160707 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Lukes Community Hospital | Current | Accepting new patients | |
| St Lukes Community Hospital | Current | Accepting new patients | |
| St Lukes Community Hospital | Current | Accepting new patients | |
| St Lukes Community Hospital | Current | Accepting new patients | |
| North Chattahoochee Family Physicians, LLC | Past | Accepting new patients | |
| St. Lukes Community Hospital | Past | Accepting new patients | |
| Forsyth County Board of Health | Past | Accepting new patients | |
| Costcare, PLLC | Past | Accepting new patients | |
| Forsyth County Health Department | Past | Accepting new patients |
Locations
107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600
126 6th Ave SW
Ste B
Ronan, MT 59864
Phone (406) 676-4436
Interoperability endpoints
- caitlin.hickok@165427463913476.direct.elationemr.com
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Ronan, MT
- NPI 1336213446
-
dba St. Luke Community Clinic St. Ignatius
- Rural Health Clinic/Center
- St Ignatius, MT
- NPI 1306911169
-
- Family Medicine Physician
- Ronan, MT
- NPI 1316125677
-
dba St. Luke Community Specialty Clinic
- Certified Registered Nurse Anesthetist
- Ronan, MT
- NPI 1518663608
-
- Primary Care Clinic/Center
- Missoula, MT
- NPI 1710171657
-
dba St. Luke Community Clinic Polson
- Rural Health Clinic/Center
- Polson, MT
- NPI 1184785420
-
- Public Health or Welfare Agency
- Cumming, GA
- NPI 1265597371
-
- Nursing Care Agency
- Cumming, GA
- NPI 1851632046
-
- Family Medicine Physician
- Johns Creek, GA
- NPI 1114041928
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ronan, MT
- NPI 1336213446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1174988828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 GREAT NORTHERN LOOP",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 6TH AVE SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642600",
"telephone_number": "406-676-3600",
"fax_number": "406-676-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKOK",
"first_name": "CAITLIN",
"credential": "RN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-23",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN250202",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "160707",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN250202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.