GARY HICKS JR. DNP-AGNP
NPI 1982448056
Nurse Practitioner - Gerontology in Kansas City, MO

Q: What is Gary Hicks's NPI number?

The NPI number for Gary Hicks is 1982448056. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Q: What is Gary Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Gary Hicks was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2024PECOS EnrolledAccepts Medicare Assignment

400 E RED BRIDGE RD STE 207, KANSAS CITY, MO 64131(913) 681-2398(913) 681-2416 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, Jun 24, 2024 (2 updates tracked since 2024).

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About Gary Hicks Jr. Dnp-agnp NPPES

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

GARY HICKS JR. DNP-AGNP (NPI 1982448056) is an individual gerontology provider in Kansas City, Missouri, licensed in Missouri (2024022023) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1982448056

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameGARY HICKS JR.Credential: DNP-AGNP

Location Address400 E RED BRIDGE RD STE 207Kansas City, MO 64131-4030

Mailing Address400 E Red Bridge Rd Ste 207Kansas City, MO 64131-4030 · (913) 681-2398 · Fax (913) 681-2416

Phone(913) 681-2398

Fax(913) 681-2416

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 24, 2024

Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1982448056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LG0600X

License✔ Licensed in MO · 2024022023

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2024022023 (MO)

400 E RED BRIDGE RD STE 207, Kansas City, MO 64131

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica.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

Gary Hicks Jr. Dnp-agnp 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 ID1951849678

PECOS Enrollment IDI20240813002756, I20241218002850

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.

Hospital Affiliations CMS Care Compare 3

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170185

Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County

Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260216

Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64131 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA DEANN COHU FNP-C

Nurse Practitioner (Family)