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Active NPI 1881968972 Individual Practitioner Male Practitioner

Jayson Douglas Hicks , PA

Physician Assistant - Medical • Champlin, MN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jayson Hicks, PA is a registered healthcare professional specializing in Physician Assistant - Medical in Champlin, MN. Official NPI practice address is registered at 113 W RIVER PKWY.

Practice Location & Contact Primary Location

Practice Address

113 W River Pkwy

Champlin, MN 553161316

Telephone 6128012745

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Champlin, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Champlin, MN (465 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License NV PA954

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active March 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2012

Registered at 113 W RIVER PKWY, CHAMPLIN, MN 553161316 (Tel: 6128012745)

📍
Updated Business Mailing Address March 07, 2012

Registered at 113 W RIVER PKWY, CHAMPLIN, MN 553161316 (Tel: 6128012745)

👤
Provider Name / Credentials Updated March 07, 2012

Recorded as JAYSON HICKS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2012

Physician Assistant (License #PA954 in NV)

🟢
Initial NPI Registration & Enumeration March 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881968972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2012
Last Update: March 07, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

113 W River Pkwy

Champlin, MN 553161316

Phone: 6128012745

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.