Kendal Nicole Hickoff, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02230582 Issued in MI

Practice address

10625 Swallowtail CT
South Lyon, MI 48178-9543

Phone

(810) 410-8265

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

Yes

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 MI

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifetime Urgent Care PLLC

  • Multi-Specialty Clinic/Center
  • Flint, MI
  • NPI 1467983817
  Medicare reassignment NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1699455576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 SWALLOWTAIL CT",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789543",
            "telephone_number": "810-410-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 SWALLOWTAIL CT",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789543",
            "telephone_number": "810-410-8265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2469 W Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485073883",
            "country_code": "US",
            "telephone_number": "810-407-6039",
            "fax_number": "810-407-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKOFF",
        "first_name": "KENDAL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F02230582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsae Heinze, PHARM.D
• Landi Anne Heller, DDS
• Yvonne Amorette Henrikson, LMT
• Nicole Herdoiza, LPC
• Barbara Ann Herzog, PT
• Natalie Marie Hicks, LLPC
• Sharon Ellen Hier-Wellmer, OTR
• Michelle Hope-Ratzlaff
• Hopeful Minds Psychology Group LLC
• Meaghan Colleen Howe-Stephenson, DPM

• Family Nurse Practitioner in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.