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

Larry Hicks

Individual provider Physician Assistant · NPI 1669004412

Larry Hicks is a Physician Assistant in Twin Falls, Idaho. Qualified in 2019, 7 years ago. Practices with Falls Centre for Functional Medicine PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2020
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Practice location Address checks out

236 Martin St
Twin Falls, ID 83301-4542
Phone: (208) 733-4444
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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 PA-1860 (ID)

Record details

NPI number1669004412
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020
Mailing address236 Martin St, Twin Falls, ID 83301-4542

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Falls Centre For Functional Medicine Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Twin Falls