KYLE DOUGLAS HICKS
NPI 1700647542
Nurse Practitioner - Family in Fresno, CA

Q: What is Kyle Hicks's NPI number?

The NPI number for Kyle Hicks is 1700647542. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Q: What is Kyle Hicks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Hicks was last updated on January 18, 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.

Active since January 18, 2024Accepts Medicare Assignment

20 E RIVER PARK PL W, FRESNO, CA 93720(559) 256-4950 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kyle Douglas Hicks NPPES

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

KYLE DOUGLAS HICKS (NPI 1700647542) is an individual family provider in Fresno, California, licensed in California (95022187) and active in the NPI registry since January 2024. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1700647542

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKYLE DOUGLAS HICKS

Location Address20 E RIVER PARK PL WFresno, CA 93720-1551

Mailing Address3222 Everglade Ave # AClovis, CA 93619-9586 · (559) 999-0660

Phone(559) 256-4950

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 18, 2024

NPPES CertifiedJanuary 11, 2024

✔ NPI 1700647542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95022187

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95069170 (CA)

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 95069170 (CA)

20 E RIVER PARK PL W, Fresno, CA 93720

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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

Kyle Douglas Hicks 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 ID4789159062

PECOS Enrollment IDI20260406001225

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

RANDY CAIN

Registered Nurse