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

Jenna Hicks, PA-C

Individual provider Medical Physician Assistant · NPI 1942990957

Jenna Hicks, PA-C is a Physician Assistant in Lehigh Acres, Florida. Qualified in 2022, 4 years ago. Practices with Innovative Dermatology and Mohs Surgery LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3507 Lee Blvd Ste 107
Lehigh Acres, FL 33971-1303
Phone: (239) 368-8071
Fax: (239) 368-8074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8800 Bernwood Pkwy Ste 6, Bonita Springs, FL 34135-9527 — (239) 464-1433

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117214 (FL)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1942990957
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Innovative Dermatology And Mohs Surgery Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lehigh Acres