ROSA HICKMAN NP
NPI 1104688274
Nurse Practitioner - Family in Boise, ID
About Rosa Hickman Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSA HICKMAN NP (NPI 1104688274) is an individual family provider in Boise, Idaho, licensed in Idaho (78182) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Boise.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rosa Hickman 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rosa Hickman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 781 clinicians in this Medicare group
Idaho Falls, ID 83401
- Reassigned Medicare billing, Idaho enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOISE, ID 83704
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 Rosa Hickman's NPI number?
The NPI number for Rosa Hickman is 1104688274. It was assigned to this individual provider in the NPPES registry on January 25, 2024.
Where is Rosa Hickman located?
Rosa Hickman practices at 6051 W Emerald St, Boise, ID 83704. The listed phone number is (208) 302-5150.
What is Rosa Hickman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rosa Hickman enrolled in Medicare?
Yes. Rosa Hickman 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.
Which organizations bill Medicare for Rosa Hickman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rosa Hickman reassigns Medicare benefits to 2 organizations: Saint Alphonsus Regional Medical Center Inc (Boise, ID) and Sterling Provider Group (Idaho Falls, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosa Hickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rosa Hickman accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and Providence Health Plan list Rosa Hickman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rosa Hickman affiliated with any hospitals?
According to CMS data, Rosa Hickman is affiliated with Saint Alphonsus Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Rosa Hickman was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Rosa Hickman, NP · NPI 1104688274
Family physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since January 25, 2024.
## Identity
- **NPI:** 1104688274 (Entity type: Individual)
- **Enumerated:** January 25, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 78182 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 6051 W EMERALD ST, Boise, ID 83704-8969
- **Phone:** (208) 302-5150 · **Fax:** (208) 302-5155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Alphonsus Regional Medical Center Inc (NPI 1649357716, Boise, ID); Sterling Provider Group (NPI 1205300407, Idaho Falls, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104688274) · Data from the CMS NPPES public registry.