Candace D Hickel, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1995 Issued in AK

Practice address

3831 Piper St
Suite S450
Anchorage, AK 99508-4672

Phone

(907) 258-6999

Fax

(907) 258-9470

NPI assigned

Oct 21, 2008

Last updated

Nov 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northstarr Cardiothoracic Surgery LLCGroup PAC ID 4789938499, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: chickel7046@ak.providencedirect.org

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.

• Northstarr Cardiothoracic Surgery, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Anchorage, AK
  • NPI 1922508514
  Medicare reassignment Care Compare group
• Coastal Neurology and Neurosurgery, Inc

  • Neurological Surgery Physician
  • Anchorage, AK
  • NPI 1689927626
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1497907554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEL",
        "first_name": "CANDACE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1995",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "1995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1995",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570498",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Hewitt
• Josie Ellen Heyano
• Lydia Heyward
• Hi Southern Alaska, Inc. (Home Instead Senior Care franchise #637)
• Hibiscus Assisted Living Home LLC
• Jack E Hickel, MD
• Jenna Hickel, RN
• Shawna Rene Hickel
• Kevin D Hickey
• Andrew Michael Hickman, RN

• Surgical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Surgical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.