Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Paige Jennifer Hickson, PA-C

Individual provider Medical Physician Assistant · NPI 1568425973

Miss. Paige Jennifer Hickson, PA-C is a Physician Assistant in Portage, Michigan. Qualified in 2005, 21 years ago. Practices with Advanced Dermatology of Michigan PC, a 40-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
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

6100 Newport Rd Ste 100 Kalamazoo Dermatology P.c
Portage, MI 49002-9235
Phone: (269) 343-4679
Fax: (269) 343-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601004610 (MI)

Record details

NPI number1568425973
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESJuly 10, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advanced Dermatology Of Michigan Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portage