Individual provider Active NPI

Jason T Hicks, APRN, LCSW

  • Family Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1245403161
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008758 Issued in KY
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

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915002456 KY Practitioner - Nurse Practitioner 5698994168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Faith Healthcare IncGroup PAC ID 0840529335, 26 clinicians
Advanced Family Medical Clinic Mount VernonGroup PAC ID 2062780810, 6 clinicians

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

LicenseStateTypeSpecialty
2011KYMDClinical Social Worker
3008758KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Healthcare Inc Family CurrentSince Jul 28, 2019 Accepting new patients
Faith Healthcare Inc CurrentSince Jul 28, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.