NPIMap

Individual provider Active NPI

Wesley M Hicken, PA-C

  • Physician Assistant
  • Flushing, NY
National Provider Identifier
1801977236
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010745 Issued in NY
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-2000
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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 010745 NY Primary

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, MD, VA, CT, DE, MA, PA8 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20051021000093 NY Practitioner - Physician Assistant 2365468097 Reassigns benefits to 3 organizations
I20121016000486 DC Practitioner - Physician Assistant 2365468097 Reassigns benefits to 7 organizations
I20131220001038 MD Practitioner - Physician Assistant 2365468097 Reassigns benefits to 5 organizations
I20230804000070 VA Practitioner - Physician Assistant 2365468097 Reassigns benefits to 2 organizations
I20241220001158 CT Practitioner - Physician Assistant 2365468097 Reassigns benefits to 1 organization
I20250320003644 DE Practitioner - Physician Assistant 2365468097 Reassigns benefits to 1 organization
I20250422000104 MA Practitioner - Physician Assistant 2365468097 Reassigns benefits to 1 organization
I20250516000097 PA Practitioner - Physician Assistant 2365468097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
Post Acute Specialists of Massachusetts PLLCGroup PAC ID 0244640498, 49 clinicians
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

Practice addresses (Care Compare)

109 Forest Valley Dr
Forest Hill, MD 21050-2831
Phone (410) 838-0101

11150 Resort Rd
Ellicott City, MD 21042-2050
Phone (410) 461-7070

1235 Potomac Valley Rd
Rockville, MD 20850-2757
Phone (301) 762-0700

145 Ward Hill Ave
Bradford, MA 01835-6928
Phone (978) 372-8000

17351 Melford Blvd
Bowie, MD 20715-4457
Phone (240) 548-1300

1801 Turnpike St
North Andover, MA 01845-6322
Phone (978) 688-1212

3100 Shore Dr
Virginia Beach, VA 23451-1199
Phone (757) 496-1100

400 Bolton St
Marlborough, MA 01752-3912
Phone (508) 481-6123

80 Boston Rd
North Billerica, MA 01862-1034
Phone (978) 667-2166

800 Essex St
Lawrence, MA 01841-4617
Phone (978) 686-2994

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7578

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Mission Care at Holyoke Nursing home, Holyoke, MA, CCN 225480
  • St Camillus Residential Health Care Facility Nursing home, Syracuse, NY, CCN 335283
  • Friendship Health and Rehab Center Nursing home, Roanoke, VA, CCN 495092
  • Carroll Lutheran Village Nursing home, Westminster, MD, CCN 215133
  • Friendship Health and Rehab Center - South Nursing home, Roanoke, VA, CCN 495421

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2554CTMDRegistered Dietitian
010745NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1801977236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEN",
        "first_name": "WESLEY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.