Active NPI
Nicole A Hicks, PA
- Physician Assistant
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15089
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A551590 | Medicaid | CA |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15089 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| North State Pulmonary Function Laboratory | Past | Accepting new patients | |
| Gary Incaudo M D Inc | Past | Accepting new patients | |
| Feather River Hospital | Past | 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
- 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.
-
dba Enloe Health Gonzales Comprehensive Cancer Center
- Radiation Oncology Physician
- Chico, CA
- NPI 1306105721
-
- Specialist
- Chico, CA
- NPI 1346339785
-
- Psychiatric Hospital Unit
- Chico, CA
- NPI 1073696100
-
dba Enloe Op Center Pharmacy
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
dba Adventist Health Feather River
- General Acute Care Hospital
- Paradise, CA
- NPI 1518940667
-
- Pulmonary Function Technologist
- Chico, CA
- NPI 1174771059
-
- Clinical Medical Laboratory
- Chico, CA
- NPI 1932298247
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.