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Lisa E Hicks , PA-C

Physician Assistant β€’ Basalt, CO

Active NPI 1285474973 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

123 Emma Rd Ste 106
Basalt, CO 816219169

Call 9709452840 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

123 Emma Rd Ste 106

Basalt, CO 816219169

Telephone 9709452840
Organization at the Same NPPES Address or Phone
Mountain Family Health Centers Facility NPI 1003328840

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Aspen, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Aspen Valley Hospital Clinics, Pllc; Mountain Family Health Centers. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Yale University School Of Medicine

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lisa Hicks has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lisa Hicks as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Basalt and Colorado

10 active clinicians are listed under Physician Assistant with a practice address in Basalt, CO (3,767 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240627002116

Enrollment State Jurisdiction

CO

PECOS Control ID

1052855350

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Aspen Valley Hospital Clinics, Pllc

401 Castle Creek Rd, Aspen, CO 816111159

Phone: 9705441422

Mountain Family Health Centers

123 Emma Rd, Basalt, CO 816219169

Phone: 9709452840

Secondary Practice Locations

401 Castle Creek Rd

Aspen, CO 816111159

Phone: 9709251120

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

34 listed
Dr. Casey Aguirre , DO

Family Medicine

NPI 1124258926

Doctor of Osteopathic Medicine (D.O.)

Dr. Amy Archer , DO

Family Medicine

NPI 1205800208

Doctor of Osteopathic Medicine (D.O.)

Emily Borkovec , PA-C

Physician Assistant

NPI 1588095145

Physician Assistant (Certified)

Bryn Brendamour , MSN, APN, FNP-C

Nurse Practitioner - Family

NPI 1750953477

Master of Science in Nursing, Advanced Practice Nurse, Family Nurse Practitioner (Certified)

Jordan Brown , NP

Nurse Practitioner - Family

NPI 1205103009

Nurse Practitioner

Debra Burns , ANP, C GNP

Nurse Practitioner - Adult Health

NPI 1780800342

Adult Nurse Practitioner, CGNP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 05, 2024

Registered at 123 EMMA RD STE 106, BASALT, CO 816219169 (Tel: 9709452840)

πŸ“
Updated Business Mailing Address August 05, 2024

Registered at PO BOX 339, GLENWOOD SPRINGS, CO 816020339 (Tel: 9703314363)

βœ…
NPI Profile Active May 29, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 29, 2024

Registered at 401 CASTLE CREEK RD, ASPEN, CO 816111159 (Tel: 9709251120)

πŸ“
Business Mailing Address (Initial Record) May 29, 2024

Registered at 39 BOOMERANG RD UNIT 8122, ASPEN, CO 816114308 (Tel: 9703314363)

πŸ‘€
Provider Name / Credentials (Initial Record) May 29, 2024

Recorded as LISA HICKS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285474973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2024
Last Update: August 05, 2024
Sole Proprietor: No

Other Physician Assistants in Basalt

Mailing Address

Po Box 339

Glenwood Springs, CO 816020339

Phone: 9703314363

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.