SUSAN K HICKS (D.O.) – Obstetrics & Gynecology Physician, NPI 1043201551

SUSAN K HICKS (D.O.) is a healthcare provider. based in Wyoming, Michigan. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials D.O.. They hold a License No. SH012674 (MI). The NPI Number for SUSAN K HICKS (D.O.) is 1043201551

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN K HICKS (D.O.)
NPI
1043201551
Phone
(616) 252-3243
Address
5900 BYRON CENTER AVE SW
Enumeration Date
3 November 2005
Last Update Date
15 April 2019

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6162524100
Graduation Year
1995 (31 years ago)
PAC ID
2769478528
Group Practice PAC ID
5597651836
Professional Enrollment ID
I20050214000573
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for SUSAN K HICKS (D.O.)

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    MEDICAL ADMINISTRATION

    WYOMING, MI 495192560

    Phone: (616) 252-3243

    Fax: (616) 252-0260

    Type: Mailing

  • Health Drive Southwest, Wyoming, Kent County, Michigan, 49518, United States

    WYOMING, MI 49519

    Phone: (616) 252-4410

    Fax: (616) 252-4480

    Type: Location

  • 221 Michigan St NE

    Suite 600

    Grand Rapids, MI 495032543

    Phone: (616) 774-7035

    Fax: (616) 774-4057

    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: 2005-02-14

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
I20050214000573IObstetrics/GynecologyMITBD

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 49519)

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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: 5597651836View full group profile
NameSpecialtyState
Internal MedicineMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Hospitalist, Internal MedicineMI
-MI
Family PracticeMI
Physician AssistantMI
Physician AssistantMI
Family PracticeMI

Reviews

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Frequently asked questions

Is SUSAN K HICKS (D.O.) listed with a National Provider Identifier?
Yes — SUSAN K HICKS (D.O.) has NPI 1043201551 on file in the registry.
Would SUSAN K HICKS (D.O.) appear as active to a payer?
You can treat SUSAN K HICKS (D.O.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SUSAN K HICKS (D.O.)?
SUSAN K HICKS (D.O.) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is SUSAN K HICKS (D.O.) registered?
Use Wyoming, Michigan as the headline location for SUSAN K HICKS (D.O.) here.
When was this NPI issued?
Enumeration for SUSAN K HICKS (D.O.) is noted as November 3, 2005 where the registry provides it.

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