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MRS. KENDAL NICOLE HICKOFF NP
NPI 1699455576
Nurse Practitioner - Family in South Lyon, MI

Active since July 24, 2023PECOS Enrolled
10625 SWALLOWTAIL CT, SOUTH LYON, MI 48178(810) 410-8265 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2026, Jul 24, 2023 (2 updates tracked since 2023).

About Mrs. Kendal Nicole Hickoff Np NPPES

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

MRS. KENDAL NICOLE HICKOFF NP (NPI 1699455576) is an individual family provider in South Lyon, Michigan, licensed in Michigan (F02230582) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699455576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KENDAL NICOLE HICKOFFCredential: NP
Location Address10625 SWALLOWTAIL CTSouth Lyon, MI 48178-9543
Mailing Address10625 Swallowtail CtSouth Lyon, MI 48178-9543 · (810) 410-8265
Phone(810) 410-8265
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 24, 2023
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1699455576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · F02230582
10625 SWALLOWTAIL CT, South Lyon, MI 48178
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Secondary Practice Location 1

Location 12469 W Hill RdFlint, MI 48507-3883 · Phone (810) 407-6039 · Fax (810) 407-8834

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kendal Nicole Hickoff Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638657224
PECOS Enrollment IDI20260204001634
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 48178 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Kendal Hickoff's NPI number?

The NPI number for Kendal Hickoff is 1699455576. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Kendal Hickoff located?

Kendal Hickoff practices at 10625 Swallowtail Ct, South Lyon, MI 48178. The listed phone number is (810) 410-8265.

What is Kendal Hickoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kendal Hickoff enrolled in Medicare?

Yes. Kendal Hickoff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendal Hickoff was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.