ILZE HICKS (M.D.) – General Practice Physician, NPI 1619337532

ILZE HICKS (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME124762 (FL). The NPI Number for ILZE HICKS (M.D.) is 1619337532

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
ILZE HICKS (M.D.)
NPI
1619337532
Phone
(804) 912-4947
Address
PO BOX 551178
Enumeration Date
4 March 2016
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862598803
Graduation Year
1982 (44 years ago)
PAC ID
4385941475
Group Practice PAC ID
9739535741
Professional Enrollment ID
I20160405001743
Address ID
FL321693109NE807XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

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Provider Addresses for ILZE HICKS (M.D.)

  • Box Tree Court, Arbor Pointe, Jacksonville, Duval County, Florida, 32225, United States

    JACKSONVILLE, FL 322551178

    Phone: (804) 912-4947

    Type: Mailing

  • 4348, Southpoint Boulevard, Jacksonville, Duval County, Florida, 32216, United States

    SUITE 100

    JACKSONVILLE, FL 322160986

    Phone: (904) 281-1915

    Fax: (904) 281-1119

    Type: Location

  • PO BOX 1268

    NEW SMYRNA BEACH, FL 321701268

    Phone: (386) 259-8803

    Fax: (386) 213-9981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160405001743IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1,131987$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes508270$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes469205$0
View full utilization report →

Insurance plans in this area (ZIP 32255)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739535741View full group profile
NameSpecialtyState
Family Practice, Peripheral Vascular DiseaseFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is ILZE HICKS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists ILZE HICKS (M.D.) with NPI 1619337532.
Does CMS list ILZE HICKS (M.D.) as active?
Yes — ILZE HICKS (M.D.) is active in the NPI listing used on this page.
What is ILZE HICKS (M.D.)'s primary classification?
General Practice Physician is the headline specialty for ILZE HICKS (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect ILZE HICKS (M.D.) on a map?
Expect Jacksonville, Florida as a primary anchor for ILZE HICKS (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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