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

Jacob Wayne Hickson

Individual provider Acute Care Nurse Practitioner · NPI 1609453497

Jacob Wayne Hickson is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2020, 6 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
6
Licensed in
DC
In the registry since
2021
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Practice location Address checks out

2112 New Hampshire Ave NW Apt 1007
Washington, DC 20009-6530
Phone: (601) 422-9537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Reservoir Rd Nw, Washington, DC 20007-2113 — (601) 422-9537

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN1036244 (DC)

Record details

NPI number1609453497
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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