Jordan Hickman, PA-C
NPI 1801211123ActiveIndividual· Physician Assistant· Ellsworth Afb, SD
Physician Assistant (PA-C) with Kadlec Regional Medical Center, practicing in Ellsworth Afb, South Dakota. 525 Medicare patients in 2024, $47,226 paid; nearly all of their 500 Part D prescriptions were generic (92%). Lists Kadlec Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1801211123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 24, 2014 |
| Last updated in NPPES | May 21, 2021 |
| Certified by provider | May 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 525 |
|---|---|
| Services billed | 1,000 across 41 procedure codes |
| Paid by Medicare | $47,226 |
Part D prescriptions in 2024
| Prescriptions (claims) | 500 · 503 30-day fills |
|---|---|
| Patients | 373 |
| Total drug cost | $5,047 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Kadlec Regional Medical CenterKennewick, WA · 414 clinicians
Hospital affiliation
- Kadlec Regional Medical CenterRichland, WA
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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