Individual provider Active NPI

Nicole A Hicks, PA

  • Physician Assistant
  • Chico, CA
National Provider Identifier
1427067495
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15089 Issued in CA
Practice address
130 Independence Cir
Suite 1
Chico, CA 95973-4962
Phone
(530) 343-5864
Fax
(530) 343-6106
NPI assigned
Aug 7, 2006
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15089 CA Primary

Addresses

Primary practice location

130 Independence Cir
Suite 1
Chico, CA 95973-4962

Mailing address

130 Independence Cir
Suite 1
Chico, CA 95973-4962
Phone (530) 343-5864

Other identifiers 1

IdentifierTypeStateIssuer
00A551590MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050531000781 CA Practitioner - Physician Assistant 9931141975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Specialty Physicians IncGroup PAC ID 7416111893, 24 clinicians

Practice addresses (Care Compare)

265 Cohasset Rd
Chico, CA 95926-2273
Phone (530) 332-3808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
67.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15089CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Feb 12, 2020 Accepting new patients
Enloe Medical Center CurrentSince Feb 12, 2020 Accepting new patients
North State Pulmonary Function Laboratory Past Accepting new patients
Gary Incaudo M D Inc Past Accepting new patients
Feather River Hospital PastSince Jun 12, 2011 Accepting new patients
North State Sleep Lab Past Accepting new patients

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6325

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

560 Cohasset Rd
Chico, CA 95926
Phone (530) 332-4470

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

Interoperability endpoints

  • Direct secure messaging: nhicks52487@enloedirect.org

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.

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1427067495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE CIR",
            "address_2": "SUITE 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734962",
            "telephone_number": "530-343-5864",
            "fax_number": "530-343-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE CIR",
            "address_2": "SUITE 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734962",
            "telephone_number": "530-343-5864",
            "fax_number": "530-343-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A551590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.