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

Jared Owen Hicken, DO

Individual provider Emergency Medicine Physician · NPI 1790429603

Jared Owen Hicken, DO is an Emergency Medicine in Rupert, Idaho. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2022, 4 years ago. Practices with McKenzie Memorial Hospital, a 32-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
ID
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1224 8th St
Rupert, ID 83350-1599
Phone: (208) 436-0481
Fax: (208) 436-6038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 8171597 (ID)

Record details

NPI number1790429603
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address1224 8th St, Rupert, ID 83350-1599

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2022 (4 years in practice)
Group practice McKenzie Memorial Hospital — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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