Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charlene J Hickson, MD

Individual provider Otolaryngology Physician · NPI 1417909938

Dr. Charlene J Hickson, MD is an Otolaryngology in Pueblo, Colorado. Qualified in 1995, 31 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
31
Licensed in
CO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1218 S Pueblo Blvd
Pueblo, CO 81005-1593
Phone: (719) 566-1277
Fax: (719) 566-1257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 902 Lakeview Ave, Pueblo, CO 81004-3597 — (719) 557-5855

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 39435 (CO)

Record details

NPI number1417909938
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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