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

Gary Hicks Jr., DNP-AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1982448056

Gary Hicks Jr., DNP-AGNP is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2024, 2 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030
Phone: (913) 681-2398
Fax: (913) 681-2416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2024022023 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2024022023 (MO)

Record details

NPI number1982448056
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-AGNP
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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