Active NPI
Jason T Hicks, APRN, LCSW
- Family Nurse Practitioner
- Monticello, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008758
- Practice address
- 126 Franklin Rd
Monticello, KY 42633-2245 - Phone
- (606) 396-3534
- Fax
- (606) 396-3535
- NPI assigned
- Apr 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008758 | KY | Primary |
| Clinical Social Worker | 1041C0700X | 2011 | KY |
Addresses
Primary practice location
126 Franklin Rd
Monticello, KY 42633-2245
Mailing address
PO Box 969
Somerset, KY 42502-0969
Phone (606) 425-5768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
126 Franklin Rd
Monticello, KY 42633-2245
Phone (606) 425-5768
79 Sarahs LN
Somerset, KY 42503-2789
Phone (606) 392-2060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011 | KY | MD | Clinical Social Worker |
| 3008758 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Healthcare Inc | Family | Current | Accepting new patients |
| Faith Healthcare Inc | Current | Accepting new patients |
Locations
126 Franklin Rd
Monticello, KY 42633
Phone (606) 396-3534
5775 N Highway 27
Ste 6
Science Hill, KY 42553
Phone (606) 489-3629
Interoperability endpoints
- jasonhicks@mmaky.allscriptsdirect.net
Organizations & group practices 3
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.
-
dba Community Care Clinic
- Federally Qualified Health Center (FQHC)
- Monticello, KY
- NPI 1053964965
Family
-
dba Advanced Family Medical Clinic
- Rural Health Clinic/Center
- Somerset, KY
- NPI 1578090403
-
dba Mt. Vernon Community Care
- Federally Qualified Health Center (FQHC)
- Mount Vernon, KY
- NPI 1790541431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Monticello, KY
- NPI 1871548016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1245403161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425020969",
"telephone_number": "606-425-5768",
"fax_number": "606-425-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 FRANKLIN RD",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426332245",
"telephone_number": "606-396-3534",
"fax_number": "606-396-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "JASON",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "APRN, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008758",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "2011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.