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

Jason Hicks, PA

Individual provider Physician Assistant · NPI 1306885033

Jason Hicks, PA is a Physician Assistant in Waconia, Minnesota. Qualified in 1996, 30 years ago. Practices with Ridgeview Medical Center, a 406-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
30
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

500 S Maple St
Waconia, MN 55387-1752
Phone: (952) 442-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9243 (MN)

Record details

NPI number1306885033
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESDecember 4, 2007
Mailing addressPo Box 81, Chaska, MN 55318-0081

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Ridgeview Medical Center — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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