Kyle Douglas Hicks, - Nurse Practitioner in Fresno, CA

Kyle Douglas Hicks, is a Nurse Practitioner - Family based in Fresno, California. Kyle Douglas Hicks is licensed to practice in California (license number 95022187) and his current practice location is 20 E River Park Pl W, Fresno, California. He can be reached at his office (for appointments etc.) via phone at (559) 256-4950.

NPI number for Kyle Douglas Hicks is 1700647542 and his current mailing address is 3222 Everglade Ave # A, Clovis, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700647542.

Contact Information

Kyle Douglas Hicks,
20 E River Park Pl W,
Fresno, CA 93720-1551
(559) 256-4950
Not Available

Map and Direction




Provider's Profile

Full NameKyle Douglas Hicks
GenderMale
SpecialityNurse Practitioner - Family
Location20 E River Park Pl W, Fresno, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700647542
  • Provider Enumeration Date: 01/18/2024
  • Last Update Date: 01/18/2024

Medical Identifiers

Medical identifiers for Kyle Douglas Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700647542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 95069170 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 95069170 (California)Secondary
363LF0000XNurse Practitioner - Family 95022187 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Douglas Hicks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyle Douglas Hicks,
3222 Everglade Ave # A,
Clovis, CA 93619-9586

Ph: (559) 999-0660
Kyle Douglas Hicks,
20 E River Park Pl W,
Fresno, CA 93720-1551

Ph: (559) 256-4950

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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