JORDAN HICKMAN (PA-C) – Physician Assistant, NPI 1801211123
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for JORDAN HICKMAN (PA-C)
508 N Wilbur Ave
Walla Walla, WA 993621549
Phone: (888) 227-3312
Fax: (509) 222-1289
Type: Location
1705 SE Meadowbrook Blvd
College Place, WA 993241756
Phone: (888) 227-3312
Fax: (509) 222-1289
Type: Location
2564 Queensgate Dr Ste 2580
Richland, WA 993529109
Phone: (888) 227-3312
Fax: (509) 222-1289
Type: Location
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 577064821
Phone: (605) 675-1000
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: 2018-07-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160622001141 | I | Physician Assistant | TX | TBD |
| I20180724003826 | I | Physician Assistant | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 78 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $0 |
| 81003 | Automated urinalysis test | 26 | 26 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 13 | 13 | $0 |
Insurance plans in this area (ZIP 99362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology, Hematology, Hematology/Oncology, Internal Medicine | WA | |
| - | MO | |
| Hospitalist, Internal Medicine | WA | |
| - | WA | |
| P O D I A T R Y | WA | |
| Hematology/Oncology, Internal Medicine | WA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | NC | |
| Physician Assistant | WA | |
| Internal Medicine | WA |
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