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RUBI A HICKSON NP
NPI 1043595788
Nurse Practitioner in Santa Rosa, CA

Active since October 13, 2011PECOS EnrolledAccepts Medicare Assignment
1165 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 547-5437(707) 547-5430 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rubi A Hickson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUBI A HICKSON NP (NPI 1043595788) is an individual nurse practitioner in Santa Rosa, California, licensed in California (NP95003075) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1043595788
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRUBI A HICKSONCredential: NP
Location Address1165 MONTGOMERY DRSanta Rosa, CA 95405-4801
Mailing Address1165 Montgomery DrSanta Rosa, CA 95405-4801 · (707) 547-5437 · Fax (707) 547-5430
Phone(707) 547-5437
Fax(707) 547-5430
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 13, 2011
Last NPPES UpdateNovember 4, 2015
✔ NPI 1043595788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CA · NP95003075✔ Licensed in MA · 2275882
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1165 MONTGOMERY DR, Santa Rosa, CA 95405
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rubi A Hickson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032377171
PECOS Enrollment IDI20151118001931
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RIDGELY OLIVER MULLER M.D.
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5207
MRS. SONOE M OFT OTR/L
Occupational Therapist (Physical Rehabilitation)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5300
BETHANY HOFFMAN
Registered Nurse (Medical-Surgical)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5300
KATE ESTHER BLACK MD
Anesthesiology (Pain Medicine)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 546-3210
SAAD SULTAN PHARMD
Pharmacist
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5380
CHASE DENNIS EMERGENCY MEDICAL GROUP INC
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (925) 924-1600
JAMES JOHN MC KEITH M.D.
Emergency Medicine
1165 MONTGOMERY DR, SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405
Sonoma County (707) 525-5207
MATTHEW BRADY THOMAS M.D.
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 546-3210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rubi Hickson's NPI number?

The NPI number for Rubi Hickson is 1043595788. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Where is Rubi Hickson located?

Rubi Hickson practices at 1165 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 547-5437.

What is Rubi Hickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rubi Hickson enrolled in Medicare?

Yes. Rubi Hickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rubi Hickson was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.