JAZZ LESOLEIL HICKS (NP, CNM) – Advanced Practice Midwife, NPI 1255949939

JAZZ LESOLEIL HICKS (NP, CNM) is a healthcare provider. based in Plymouth, Massachusetts. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials NP, CNM. They hold a License No. 104674984 (MA). The NPI Number for JAZZ LESOLEIL HICKS (NP, CNM) is 1255949939

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JAZZ LESOLEIL HICKS (NP, CNM)
NPI
1255949939
Phone
(085) 830-6116
Address
46 OBERY ST STE 200
Enumeration Date
17 July 2020
Last Update Date
27 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082105920
Graduation Year
2024 (2 years ago)
PAC ID
1355750324
Group Practice PAC ID
1254321086
Professional Enrollment ID
I20241210002147
Address ID
MA023602237PL46XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

270 CERTIFIED NURSE MIDWIFE (CNM) in MA

Provider Addresses for JAZZ LESOLEIL HICKS (NP, CNM)

  • 46 OBERY ST STE 200

    PLYMOUTH, MA 023602237

    Phone: (085) 830-6116

    Type: Mailing

  • 16 FOREST ST

    CARVER, MA 023301115

    Phone: (617) 842-9134

    Type: Mailing

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: 2024-12-10

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
I20241210002147ICertified Nurse Midwife (Cnm)MATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02360)

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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: 1254321086View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMA
Physician AssistantMA
Certified Nurse Midwife (Cnm)MA
Physician AssistantMO
Nurse PractitionerMA
Thoracic SurgeryMA
H E M A T O L O G Y/ O N C O L O G YMA
-MA
General SurgeryMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is JAZZ LESOLEIL HICKS (NP, CNM)'s NPI number?
JAZZ LESOLEIL HICKS (NP, CNM)'s NPI is 1255949939 — the number used across U.S. healthcare to identify this provider.
Would JAZZ LESOLEIL HICKS (NP, CNM) appear as active to a payer?
You can treat JAZZ LESOLEIL HICKS (NP, CNM) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JAZZ LESOLEIL HICKS (NP, CNM)?
At a glance, JAZZ LESOLEIL HICKS (NP, CNM) is tied to Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAZZ LESOLEIL HICKS (NP, CNM)?
Travel planning: use Plymouth, Massachusetts as the reference point for JAZZ LESOLEIL HICKS (NP, CNM), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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