JATONNE HICKMAN AG-ACNP-BC, CCRN
NPI 1417413683
Nurse Practitioner - Acute Care in Cleveland, OH

Q: What is Jatonne Hickman's NPI number?

The NPI number for Jatonne Hickman is 1417413683. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Q: What is Jatonne Hickman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jatonne Hickman was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 13, 2019PECOS EnrolledAccepts Medicare Assignment

2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 10, 2022, Feb 13, 2019 (2 updates tracked since 2019).

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About Jatonne Hickman Ag-acnp-bc, Ccrn NPPES

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

JATONNE HICKMAN AG-ACNP-BC, CCRN (NPI 1417413683) is an individual acute care provider in Cleveland, Ohio, licensed in Ohio (APRN.CNP.024166) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2018).

NPPES Registry Identity

NPI1417413683

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJATONNE HICKMANCredential: AG-ACNP-BC, CCRN

Location Address2500 METROHEALTH DRCleveland, OH 44109-1900

Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 778-7800

Phone(216) 778-7800

Sole ProprietorYes

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2018

Enumeration DateFebruary 13, 2019

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2022

✔ NPI 1417413683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.024166

2500 METROHEALTH DR, Cleveland, OH 44109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

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

Jatonne Hickman Ag-acnp-bc, Ccrn 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 ID7012257926

PECOS Enrollment IDI20190312002893

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Metrohealth System

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360059

Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

AMIR RAZAVI MD

Internal Medicine