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

Rubi A Hickson, NP

Individual provider Nurse Practitioner · NPI 1043595788

Rubi A Hickson, NP is a Nurse Practitioner in Santa Rosa, California. Qualified in 2011, 15 years ago. Practices with University Anesthesia Medical Group, a 404-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
15
Licensed in
CA, MA
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone: (707) 547-5437
Fax: (707) 547-5430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95003075 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 2275882 (MA)

Record details

NPI number1043595788
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 13, 2011
Last updated in NPPESNovember 4, 2015
Mailing address1165 Montgomery Dr, Santa Rosa, CA 95405-4801

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Anesthesia Medical Group — 404 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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