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LISA E HICKS PA-C
NPI 1285474973
Physician Assistant in Basalt, CO

Active since May 29, 2024PECOS EnrolledAccepts Medicare Assignment
123 EMMA RD STE 106, BASALT, CO 81621(970) 945-2840 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lisa E Hicks Pa-c NPPES

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

LISA E HICKS PA-C (NPI 1285474973) is an individual physician assistant in Basalt, Colorado and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aspen, and is a graduate of Yale University School Of Medicine (2024).

NPPES Registry Identity

NPI1285474973
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA E HICKSCredential: PA-C
Location Address123 EMMA RD STE 106Basalt, CO 81621-9169
Mailing AddressPo Box 339Glenwood Springs, CO 81602-0339 · (970) 331-4363 · Fax (970) 945-2893
Phone(970) 945-2840
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2024
Enumeration DateMay 29, 2024
Last NPPES UpdateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1285474973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
123 EMMA RD STE 106, Basalt, CO 81621
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Secondary Practice Location 1

Location 1401 Castle Creek RdAspen, CO 81611-1159 · Phone (970) 925-1120

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

Lisa E Hicks Pa-c 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 ID1052855350
PECOS Enrollment IDI20240627002116
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81621 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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 2

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

CHRISTOPHER J PERRY
Counselor (Mental Health)
123 EMMA RD STE 106
BASALT, CO 81621
Eagle County (970) 945-2840
CHRISTINE LYNN MCCONNELL PA-C
Physician Assistant
123 EMMA RD STE 106
BASALT, CO 81621
Eagle County (970) 945-2840

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 Lisa Hicks's NPI number?

The NPI number for Lisa Hicks is 1285474973. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Lisa Hicks located?

Lisa Hicks practices at 123 Emma Rd Ste 106, Basalt, CO 81621. The listed phone number is (970) 945-2840.

What is Lisa Hicks's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Hicks enrolled in Medicare?

Yes. Lisa Hicks 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 Lisa Hicks was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.