MR. BLAINE REUBEN HICKMAN
NPI 1881822716
Social Worker - Clinical in Layton, UT
About Mr. Blaine Reuben Hickman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BLAINE REUBEN HICKMAN (NPI 1881822716) is an individual clinical provider in Layton, Utah and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
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 (PECOS)
Mr. Blaine Reuben Hickman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Blaine Hickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taylorsville, UT 84129
- Reassigned Medicare billing, Utah enrollment
- 5 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 84041 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAYTON, UT 84041
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 Blaine Hickman's NPI number?
The NPI number for Blaine Hickman is 1881822716. It was assigned to this individual provider in the NPPES registry on June 30, 2009.
Where is Blaine Hickman located?
Blaine Hickman practices at 930 W Hill Field Rd #a, Layton, UT 84041. The listed phone number is (801) 336-3040.
What is Blaine Hickman's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Blaine Hickman enrolled in Medicare?
Yes. Blaine Hickman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Blaine Hickman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Hickman reassigns Medicare benefits to Summit Medical Center LLC (Taylorsville, UT). The 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 Blaine Hickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blaine Hickman accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Blaine 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.
When was this NPI record last updated?
The NPPES record for Blaine Hickman was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Blaine Reuben Hickman · NPI 1881822716
Clinical provider in Layton, Utah. Individual provider, active in the CMS NPPES registry since June 30, 2009.
## Identity
- **NPI:** 1881822716 (Entity type: Individual)
- **Enumerated:** June 30, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 930 W HILL FIELD RD, #A, Layton, UT 84041-4662
- **Phone:** (801) 336-3040 · **Fax:** (801) 336-3041
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Summit Medical Center LLC (NPI 1568250835, Taylorsville, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 30, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1881822716) · Data from the CMS NPPES public registry.