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JORDAN HICKMAN PA-C
NPI 1801211123
Physician Assistant in Ellsworth Afb, SD

Active since February 24, 2014PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706(605) 675-1000 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Hickman Pa-c NPPES

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

JORDAN HICKMAN PA-C (NPI 1801211123) is an individual physician assistant in Ellsworth Afb, South Dakota and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801211123
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN HICKMANCredential: PA-C
Location Address2900 DOOLITTLE DREllsworth Afb, SD 57706-4821
Mailing Address2900 Doolittle DrEllsworth Afb, SD 57706-4821 · (605) 675-1000
Phone(605) 675-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 24, 2014
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1801211123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2900 DOOLITTLE DR, Ellsworth Afb, SD 57706
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1508 N Wilbur AveWalla Walla, WA 99362-1549 · Phone (888) 227-3312 · Fax (509) 222-1289
Location 21705 SE Meadowbrook BlvdCollege Place, WA 99324-1756 · Phone (888) 227-3312 · Fax (509) 222-1289
Location 32564 Queensgate Dr Ste 2580Richland, WA 99352-9109 · Phone (888) 227-3312 · Fax (509) 222-1289

Accepted Insurance

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

Jordan Hickman Pa-c 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 ID6002107083
PECOS Enrollment IDI20180724003826
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
317 services295 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services130 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services64 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
63 services62 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
60 services57 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
46 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57706 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.45
Promoting Interoperability100
Improvement Activities40
Cost86.75

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.

MS. CHRISTLE CELESTE USERA MSW/CSW-PIP
Social Worker (Clinical)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3656
28TH MEDGRP-ELLSWORTH
Clinic/Center (Military/U.S. Coast Guard Outpatient)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3311
DR. ERIC WALTER JORCZAK PHARM.D.
Pharmacist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3250
ANTHONY ZUNKER
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3002
MAXWELL TUO CHENG D.O.
General Practice
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-6700
DR. MICHAEL SCOTT BOGAARD O.D.
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3281
DIANE RAMIREZ IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 835-3332
DR. LAUREN KAY MATTHEWS OD
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3283

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 Jordan Hickman's NPI number?

The NPI number for Jordan Hickman is 1801211123. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Jordan Hickman located?

Jordan Hickman practices at 2900 Doolittle Dr, Ellsworth Afb, SD 57706. The listed phone number is (605) 675-1000.

What is Jordan Hickman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Hickman enrolled in Medicare?

Yes. Jordan 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 Jordan Hickman accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Jordan 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.

Is Jordan Hickman affiliated with any hospitals?

According to CMS data, Jordan Hickman is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jordan Hickman was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.