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

Jefferson Lewis Hicks, PA

Individual provider Surgical Physician Assistant · NPI 1083013064

Jefferson Lewis Hicks, PA is a Physician Assistant in Lone Tree, Colorado. Qualified in 2014, 12 years ago. Practices with Healthone Clinic Services-Surgical Specialties LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
12
Licensed in
CO
In the registry since
2014
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

10103 Ridgegate Pkwy Ste 306
Lone Tree, CO 80124-5525
Phone: (303) 225-8120
Fax: (303) 225-8130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0004557 (CO)

Record details

NPI number1083013064
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Healthone Clinic Services-Surgical Specialties Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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