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MR. JONATHAN ELLIOTT HICKMAN PMHNP-BC
NPI 1649613555
Nurse Practitioner - Psychiatric/Mental Health in Olympia, WA

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment
3857 MARTIN WAY E, OLYMPIA, WA 98506(360) 704-7170(360) 412-4982 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Mr. Jonathan Elliott Hickman Pmhnp-bc NPPES

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

MR. JONATHAN ELLIOTT HICKMAN PMHNP-BC (NPI 1649613555) is an individual psychiatric/mental health provider in Olympia, Washington, licensed in Washington (AP61398090) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649613555
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JONATHAN ELLIOTT HICKMANCredential: PMHNP-BC
Location Address3857 MARTIN WAY EOlympia, WA 98506-5268
Mailing Address3857 Martin Way EOlympia, WA 98506-5268 · (360) 704-7170
Phone(360) 704-7170
Fax(360) 412-4982
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 10, 2013
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1649613555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in WA · AP61398090✔ Licensed in NH · 9284934
3857 MARTIN WAY E, Olympia, WA 98506
Open in Google Maps ↗

Other Identifiers 1

Medicaid3078870NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Mr. Jonathan Elliott Hickman Pmhnp-bc 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 ID7214179712
PECOS Enrollment IDI20250220003399
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 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

PAMELA KAY BODINE
Counselor (Mental Health)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
ALYSSA COMPTON CLARK
Community Health Worker
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
DANIELE BRITTNEY MAURER
Counselor (Mental Health)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
LEAH J VAN TIEM CLINICIAN
Counselor
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
AMANDA VIOLET WELCH
Counselor
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
ALYSSA LONG
Counselor
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
GEORGE PETZINGER M.D.
Psychiatry & Neurology (Psychiatry)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
MS. FRANCES LYN HERTZ MA LMHC
Counselor (Mental Health)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170

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 Jonathan Hickman's NPI number?

The NPI number for Jonathan Hickman is 1649613555. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Jonathan Hickman located?

Jonathan Hickman practices at 3857 Martin Way E, Olympia, WA 98506. The listed phone number is (360) 704-7170.

What is Jonathan Hickman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Hickman enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Hickman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Hickman was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.