Active NPI
Kaitlyn Paige Hickman, PA-C
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17715
- Practice address
- 21 Spurs LN Ste 310
San Antonio, TX 78240-1679 - Phone
- (210) 615-8332
- Fax
- (800) 699-0265
- NPI assigned
- Feb 22, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17715 | TX | Primary |
| Internal Medicine Physician | 207R00000X | PA17715 | TX |
Addresses
Primary practice location
21 Spurs LN Ste 310
San Antonio, TX 78240-1679
Mailing address
10740 N Gessner Rd Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Spurs LN
Suite 310
San Antonio, TX 78240-1679
Phone (210) 615-8332
4438 Centerview
San Antonio, TX 78228-1440
Phone (210) 280-0040
5715 Rogers Rd
Suite 128
San Antonio, TX 78251-3764
Phone (210) 249-4838
6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411
9301 Pinecroft Dr
Suite 150
Shenandoah, TX 77380-3182
Phone (281) 362-1368
Hospital & facility affiliations
- Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| San Antonio Head & Neck Surgical Associates, P.a. | Past | Accepting new patients | |
| Noble Anesthesia Partners, PLLC | Past | Accepting new patients |
Locations
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
4243 E Southcross Blvd
Ste 205
San Antonio, TX 78222
Phone (210) 304-3500
448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1255314985
-
- Anesthesiology Physician
- Irving, TX
- NPI 1619259553
-
- Otolaryngology Physician
- San Antonio, TX
- NPI 1972545549
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1790541365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 N GESSNER RD STE 310",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770641240",
"telephone_number": "281-897-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SPURS LN STE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401679",
"telephone_number": "210-615-8332",
"fax_number": "800-699-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "KAITLYN",
"middle_name": "PAIGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17715",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "PA17715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.