DR. JENNIFER ANN HICKMAN (MD) – Pediatric Anesthesiology Physician, NPI 1043399967

DR. JENNIFER ANN HICKMAN (MD) is a healthcare provider. based in Urbana, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 48920020 (WI). The NPI Number for DR. JENNIFER ANN HICKMAN (MD) is 1043399967

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER ANN HICKMAN (MD)
NPI
1043399967
Phone
(217) 383-6792
Address
611 W. PARK ST.
Enumeration Date
2 November 2006
Last Update Date
2 October 2015

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
5417264402
Graduation Year
2004 (22 years ago)
PAC ID
1355490574
Group Practice PAC ID
3274420138
Professional Enrollment ID
I20180924002620
Address ID
OR974774112SP1460XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DR. JENNIFER ANN HICKMAN (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6792

    Mailing address matches the actual address.

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: 2018-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090519000255IAnesthesiologyWITBD
I20180924002620IAnesthesiologyORTBD

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
00670Anesthesia for extensive surgery on spine1414$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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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: 3274420138View full group profile
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Reviews

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Frequently asked questions

Where can patients find DR. JENNIFER ANN HICKMAN (MD)'s NPI?
You can confirm DR. JENNIFER ANN HICKMAN (MD) with NPI 1043399967; it appears in the national provider directory.
Does this profile mean DR. JENNIFER ANN HICKMAN (MD) is currently active?
Yes — DR. JENNIFER ANN HICKMAN (MD) appears active in the national provider directory.
What field does DR. JENNIFER ANN HICKMAN (MD) work in?
You can think of DR. JENNIFER ANN HICKMAN (MD) as practicing within Pediatric Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JENNIFER ANN HICKMAN (MD) practice in Illinois?
You will see Urbana, Illinois on file for DR. JENNIFER ANN HICKMAN (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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