DOROTHY E HICKS (PA) – Physician Assistant, NPI 1396717823
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DOROTHY E HICKS (PA)
503 W COLLEGE ST
FLORENCE, AL 356305311
Phone: (256) 767-1779
Fax: (256) 767-1780
Type: Mailing
34th Ave South, Bloomington, Hennepin County, Minnesota, 55450, United States
MAIL STOP 21110Q
BLOOMINGTON, MN 554251672
Phone: (952) 883-5463
Fax: (952) 883-5395
Type: Mailing
Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States
MC 11102H
ST PAUL, MN 551012502
Phone: (651) 254-3462
Fax: (651) 254-1603
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: 2021-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100615000480 | I | Physician Assistant | SD | TBD |
| I20171206002955 | I | Physician Assistant | TX | TBD |
| I20210201001890 | I | Physician Assistant | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35630)
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