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MR. JASON T HICKS PCC
NPI 1215931720
Physician Assistant - Medical in Kalkaska, MI

Active since June 13, 2005PECOS Enrolled
100/100
CMS Quality Rating
419 S CORAL ST, KALKASKA, MI 49646(231) 258-7500(231) 258-7527 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jason T Hicks Pcc NPPES

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

MR. JASON T HICKS PCC (NPI 1215931720) is an individual medical provider in Kalkaska, Michigan, licensed in Michigan (5601003956) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215931720
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JASON T HICKSCredential: PCC
Location Address419 S CORAL STKalkaska, MI 49646-2503
Mailing Address419 S Coral StKalkaska, MI 49646-2503 · (231) 258-7500 · Fax (231) 258-7527
Phone(231) 258-7500
Fax(231) 258-7527
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1215931720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601003956
419 S CORAL ST, Kalkaska, MI 49646
Open in Google Maps ↗

Other Identifiers 1

Other5601003956MI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jason T Hicks Pcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

LAUREN KELLY NYITRAY
Speech-Language Pathologist
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 258-7500
KALKASKA MEMORIAL HEALTH CENTER
Family Medicine
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 258-7500
MRS. HOLLY JO SWINEHART OTR/L
Occupational Therapist (Hand)
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 258-7534
HANNAH PARRISH MA, BCABA, CCC-SLP
Speech-Language Pathologist
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 258-7500
ELIZABETH LYNNELLE GODFREY MD
Family Medicine
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 258-7506
MRS. WHITNEY ASHTON MERVAU FNP
Nurse Practitioner (Family)
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 633-9550
KALKASKA MEMORIAL HEALTH CENTER
Skilled Nursing Facility
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 258-7500
JACQUELINE SHUMAKER RN, BSN, MPH
Registered Nurse
419 S CORAL ST
KALKASKA, MI 49646
Kalkaska County (231) 258-7910

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 Jason Hicks's NPI number?

The NPI number for Jason Hicks is 1215931720. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Jason Hicks located?

Jason Hicks practices at 419 S Coral St, Kalkaska, MI 49646. The listed phone number is (231) 258-7500.

What is Jason Hicks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jason Hicks enrolled in Medicare?

Yes. Jason Hicks is registered in the Medicare PECOS enrollment system.

What insurance does Jason Hicks accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jason Hicks 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.

When was this NPI record last updated?

The NPPES record for Jason Hicks was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.