KYLE DOUGLAS HICKS
NPI 1700647542
Nurse Practitioner - Family in Fresno, CA
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kyle Hicks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 293 clinicians in this Medicare group
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 132 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
FRESNO, CA 93720
FRESNO, CA 93720
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 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.
Where is Kyle Hicks located?
Kyle Hicks practices at 20 E River Park Pl W, Fresno, CA 93720. The listed phone number is (559) 256-4950.
What is Kyle Hicks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kyle Hicks enrolled in Medicare?
Yes. Kyle Hicks 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.
Which organizations bill Medicare for Kyle Hicks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Hicks reassigns Medicare benefits to 2 organizations: Valley Regional Anesthesia Associates Inc (Fresno, CA) and Northeastern Anesthesia PLLC (Sierra Vista, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kyle Douglas Hicks · NPI 1700647542
Family physician in Fresno, California. Individual provider, active in the CMS NPPES registry since January 18, 2024.
## Identity
- **NPI:** 1700647542 (Entity type: Individual)
- **Enumerated:** January 18, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022187 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 E RIVER PARK PL W, Fresno, CA 93720-1551
- **Phone:** (559) 256-4950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valley Regional Anesthesia Associates Inc (NPI 1578272415, Fresno, CA); Northeastern Anesthesia PLLC (NPI 1487956504, Sierra Vista, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700647542) · Data from the CMS NPPES public registry.