Individual provider Active NPI

Fred W Hickle, P.A.

  • Physician Assistant
  • Latrobe, PA
National Provider Identifier
1922299643
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1005 Ligonier St
Latrobe, PA 15650-1832
Phone
(724) 532-1020
Fax
(724) 532-1025
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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 Primary

Addresses

Primary practice location

1005 Ligonier St
Latrobe, PA 15650-1832

Mailing address

1005 Ligonier St
Latrobe, PA 15650-1832
Phone (724) 532-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20070927000727 PA Practitioner - Physician Assistant 9133214786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as group
Quality
79.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Dec 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 1, 2018 Accepting new patients
Upmc Bedford Memorial CurrentSince Jul 17, 2016 Accepting new patients

Locations

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

1005 Ligonier St
Latrobe, PA 15650
Phone (412) 532-1020

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: fhickle@direct.excelahealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1922299643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501832",
            "telephone_number": "724-532-1020",
            "fax_number": "724-532-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501832",
            "telephone_number": "724-532-1020",
            "fax_number": "724-532-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLE",
        "first_name": "FRED",
        "middle_name": "W",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.