Holly Hickman, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

DR.0062192 Issued in CO

Practice address

16172 Highway 9
Breckenridge, CO 80424-8959

Phone

(731) 695-0669

NPI assigned

Apr 16, 2015

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Tennessee, HSC, College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swan Mountain Womens Center PCGroup PAC ID 0244489649, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.hickman.1@8558.direct.athenahealth.com

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.

• Swan Mountain Women'S Center, PC

  • Obstetrics & Gynecology Physician
  • Breckenridge, CO
  • NPI 1093087108
  Medicare reassignment Care Compare group NPD
• Swan Mountain Women'S Center, PC

  • Obstetrics & Gynecology Physician
  • Buena Vista, CO
  • NPI 1477149615
  NPD
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Frisco, CO
  • NPI 1720096092
  NPD (past)

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

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Frisco, CO
  • NPI 1720096092
  Care Compare affiliation

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1831586882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248959",
            "telephone_number": "970-423-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248959",
            "telephone_number": "731-695-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021622",
            "country_code": "US",
            "telephone_number": "502-588-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "HOLLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0062192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen Paul Hebert, D.C.
• Amy D Heflin, OT
• High Altitude Mobile Physicians
• High Country Oxygen LLC
• High County Health Care PC
• Ruby Elizabeth Hornback, CAS, MSW, MPH
• Inger Pernille Hudson, PHARM.D.

• Obstetrics & Gynecology Physician in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.