Lisa E. Hicks, PA-C
NPI 1285474973ActiveIndividual· Physician Assistant· Basalt, CO
Physician Assistant (PA-C) in Basalt, Colorado, trained at Yale University School of Medicine (class of 2024). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1285474973 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 29, 2024 |
| Last updated in NPPES | Aug 5, 2024 |
| Certified by provider | Aug 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|
Education and affiliations
| Medical school | Yale University School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Aspen Valley Hospital Clinics, PLLCBasalt, CO · 23 clinicians
- Mountain Family Health CentersGlenwood Springs, CO · 20 clinicians
Hospital affiliations
- Aspen Valley Hospital DistrictAspen, CO
- Valley View Hospital AssociationGlenwood Springs, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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