JARED OWEN HICKEN DO
NPI 1790429603
Emergency Medicine in Rupert, ID
About Jared Owen Hicken Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED OWEN HICKEN DO (NPI 1790429603) is an individual emergency medicine provider in Rupert, Idaho, licensed in Idaho (8171597) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Minidoka Memorial Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jared Owen Hicken Do 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 Jared Hicken reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rupert, ID 83350
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1134333495 (Idaho)
- 60 clinicians in this Medicare group
Sandusky, MI 48471
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1497750608 (Michigan)
- 51 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Minidoka Memorial Hospital
Critical Access Hospitals · Rupert, IDMckenzie Health System
Critical Access Hospitals · Sandusky, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83350 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.
RUPERT, ID 83350
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 Jared Hicken's NPI number?
The NPI number for Jared Hicken is 1790429603. It was assigned to this individual provider in the NPPES registry on April 26, 2022.
Where is Jared Hicken located?
Jared Hicken practices at 1224 8th St, Rupert, ID 83350. The listed phone number is (208) 436-0481.
What is Jared Hicken's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jared Hicken enrolled in Medicare?
Yes. Jared Hicken 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 Jared Hicken's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Hicken reassigns Medicare benefits to 2 organizations: Minidoka Memorial Hospital (Rupert, ID) and Mckenzie Memorial Hospital (Sandusky, MI). 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 Jared Hicken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jared Hicken accept?
Health plans from Moda Health Plan, Inc. and Priority Health list Jared Hicken 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.
Is Jared Hicken affiliated with any hospitals?
According to CMS data, Jared Hicken is affiliated with Minidoka Memorial Hospital and Mckenzie Health System.
When was this NPI record last updated?
The NPPES record for Jared Hicken was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jared Owen Hicken, DO · NPI 1790429603
Emergency Medicine physician in Rupert, Idaho. Individual provider, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1790429603 (Entity type: Individual)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 8171597 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1224 8TH ST, Rupert, ID 83350-1599
- **Phone:** (208) 436-0481 · **Fax:** (208) 436-6038
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minidoka Memorial Hospital (NPI 1679553531, Rupert, ID); Mckenzie Memorial Hospital (NPI 1033271135, Sandusky, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790429603) · Data from the CMS NPPES public registry.