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

Garrett Douglas Hicks

Individual provider Certified Registered Nurse Anesthetist · NPI 1568014561

Garrett Douglas Hicks is a Certified Registered Nurse Anesthetist (CRNA) in Fresno, California. Qualified in 2025, 1 year ago. Practices with Northeastern Anesthesia PLLC, a 83-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone: (559) 450-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002812 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95011637 (CA)

Record details

NPI number1568014561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2019
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address4747 N 1st St Ste 181, Fresno, CA 93726-0517

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeastern Anesthesia Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fresno