JACOB WAYNE HICKSON
NPI 1609453497
Nurse Practitioner - Acute Care in Washington, DC

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
2112 NEW HAMPSHIRE AVE NW APT 1007, WASHINGTON, DC 20009(601) 422-9537 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Wayne Hickson NPPES

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

JACOB WAYNE HICKSON (NPI 1609453497) is an individual acute care provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1036244) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609453497
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJACOB WAYNE HICKSON
Location Address2112 NEW HAMPSHIRE AVE NW APT 1007Washington, DC 20009-6530
Mailing Address2112 New Hampshire Ave Nw Apt 1007Washington, DC 20009-6530
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
NPI 1609453497 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 DC · RN1036244
2112 NEW HAMPSHIRE AVE NW APT 1007, Washington, DC 20009

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

Jacob Wayne Hickson 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 ID9537560206
PECOS Enrollment IDI20210701002197, I20210720000792
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.

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.
172 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
35 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20009 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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 Jacob Hickson's NPI number?

The NPI number for Jacob Hickson is 1609453497. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Jacob Hickson located?

Jacob Hickson practices at 2112 New Hampshire Ave NW Apt 1007, Washington, DC 20009. The listed phone number is (601) 422-9537.

What is Jacob Hickson's specialty?

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

Is Jacob Hickson enrolled in Medicare?

Yes. Jacob 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 Jacob Hickson was last updated on March 26, 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.