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

Jordan Hickman, PA-C

Individual provider Physician Assistant · NPI 1801211123

Jordan Hickman, PA-C is a Physician Assistant in Ellsworth AFB, South Dakota. Qualified in 2014, 12 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group, works from 4 locations and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2900 Doolittle Dr
Ellsworth AFB, SD 57706-4821
Phone: (605) 675-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1705 Se Meadowbrook Blvd, College Place, WA 99324-1756 — (888) 227-3312
  • 2564 Queensgate Dr Ste 2580, Richland, WA 99352-9109 — (888) 227-3312
  • 508 N Wilbur Ave, Walla Walla, WA 99362-1549 — (888) 227-3312

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1801211123
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021

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 Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ellsworth AFB