MISS PAIGE JENNIFER HICKSON PA-C NPI 1568425973

NPI Information

  • NPI: 1568425973
  • Provider Name: MISS PAIGE JENNIFER HICKSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6100 NEWPORT ROAD, SUITE 100
    KALAMAZOO DERMATOLOGY, P.C.
    PORTAGE, MI
    ZIP 49002
  • Phone: (269) 343-4679

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NPI Details

MISS Paige Jennifer Hickson, PA-C is a medical physician assistant in Portage, MI with 20 years of experience. MISS Paige Jennifer Hickson, PA-C NPI is 1568425973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6100 NEWPORT ROAD, SUITE 100
KALAMAZOO DERMATOLOGY, P.C.
PORTAGE, MI
ZIP 49002-235
Phone: (269) 343-4679
Fax: (269) 343-5929

The NPI 1568425973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Application of light to destroy precancer skin growth (HCPCS:96567)
  • Removal of skin tag, 1-15 skin tags (HCPCS:11200)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 7/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical5601004610MICHIGANNo
2363AM0700XPhysician AssistantMedicalMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10C96019010MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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