Rubi A Hickson, NP - Medicare Nurse Practitioner in Santa Rosa, CA

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Rubi A Hickson, NP is a medicare enrolled "Nurse Practitioner" in Santa Rosa, California. Her current practice location is 1165 Montgomery Dr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 547-5437.

Rubi A Hickson is licensed to practice in California (license number NP95003075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043595788.

Contact Information

Rubi A Hickson, NP
1165 Montgomery Dr,
Santa Rosa, CA 95405-4801
(707) 547-5437
(707) 547-5430

Map and Direction




Provider's Profile

Full NameRubi A Hickson
GenderFemale
SpecialityNurse Practitioner
Location1165 Montgomery Dr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043595788
  • Provider Enumeration Date: 10/13/2011
  • Last Update Date: 11/04/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9032377171
  • Enrollment ID: I20151118001931

Medical Identifiers

Medical identifiers for Rubi A Hickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043595788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2275882 (Massachusetts)Secondary
363L00000XNurse Practitioner NP95003075 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rubi A Hickson allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameUniversity Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528137296
PECOS PAC ID: 2769370535
Enrollment ID: O20040304001219

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. Rubi A Hickson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rubi A Hickson, NP
1165 Montgomery Dr,
Santa Rosa, CA 95405-4801

Ph: (707) 547-5437		Rubi A Hickson, NP
1165 Montgomery Dr,
Santa Rosa, CA 95405-4801

Ph: (707) 547-5437

Reviews and Comments


Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404
Phone: 707-585-7780    Fax: 707-585-7784
Julie Barlow, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-525-5207    
Suzanne Watts Dedmore, RN, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401
Phone: 707-303-3600    
Amada Ligia Gomez, NURSE PRACTITIONER
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Medicare: Not Enrolled in Medicare
Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404
Phone: 786-385-4492    
Genesis Callejas-mir, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401
Phone: 707-527-4445    
Felipa Jones, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404
Phone: 707-570-1130    Fax: 707-571-2478
Cynthia R. Ingels, MSN,N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 Doyle Park Dr, Suite 103, Santa Rosa, CA 95405
Phone: 707-579-1102    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.