Joshua Hickman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1260 Doctors LN Ste a
Fort Collins, CO 80524-4072

Phone

(970) 286-2668

Fax

(970) 294-4954

NPI assigned

Jan 17, 2019

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 WI, CO2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divine Dermatology and Surgical Institute PLLCGroup PAC ID 0941571236, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

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.

• Divine Dermatology and Surgical Institute, PLLC

  • Medical Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1215460290
  Medicare reassignment Care Compare group
• New Dermatology Group LTD

  • Dermatology Physician
  • Howard, WI
  • NPI 1235480112
  Medicare reassignment
• Divine Dermatology and Surgical Institute, PLLC

  • Dermatology Physician
  • Longmont, CO
  • NPI 1962164269
  NPD (past)
• Mountain Air, LLC

  • Oxygen Equipment & Supplies (DME)
  • Fort Collins, CO
  • NPI 1922332956
  NPD (past)
• New Dermatology Group LTD

  • Dermatology Physician
  • Iron Mountain, MI
  • NPI 1710321633
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1326512781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 DOCTORS LN STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244072",
            "telephone_number": "970-286-2668",
            "fax_number": "970-294-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 DOCTORS LN STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244072",
            "telephone_number": "970-286-2668",
            "fax_number": "970-294-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Heter, DO
• Bethany Heun, RN
• Eleanor Hickerson
• Brynn L Hickey
• Nathan Hickle
• Lani R. Hickman, LCSW
• Thomas Ralph Hickman, DDS
• Karissa S Hicks, PEER
• Taylor Anne Hiebert, OTD, OTR/L
• Evan Hiew

• Medical Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.