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

Nicole M Hicks, PA

Individual provider Physician Assistant · NPI 1053349829

Nicole M Hicks, PA is a Physician Assistant in Saint Paul, Minnesota. Qualified in 1996, 30 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
30
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-2005
Fax: (651) 254-1519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8100 W 78th St Ste 230, Edina, MN 55439-2570 — (952) 946-9777

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9245 (MN)

Record details

NPI number1053349829
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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