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

Lisa E Hicks, PA-C

Individual provider Physician Assistant · NPI 1285474973

Lisa E Hicks, PA-C is a Physician Assistant in Basalt, Colorado. Graduated from Yale University School of Medicine in 2024, 2 years ago. Practices with Mountain Family Health Centers, a 20-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
Trained at
Yale University School of Medicine
In the registry since
2024
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

123 Emma Rd Ste 106
Basalt, CO 81621-9169
Phone: (970) 945-2840
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 401 Castle Creek Rd, Aspen, CO 81611-1159 — (970) 925-1120

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285474973
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing addressPo Box 339, Glenwood Springs, CO 81602-0339

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Mountain Family Health Centers — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Basalt