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Paige Jennifer Hickson, PA-C

Physician Assistant, Medical in Portage, MI. Individual provider (NPI-1).

NPI number1568425973
StatusActive
Last updated in NPPESJul 10, 2017

Details

NPI
1568425973
Entity type
Individual (NPI-1)
Name
Miss Paige Jennifer Hickson
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2006
Last updated
Jul 10, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical–MIYes
363AM0700X Physician Assistant, Medical5601004610MI

Other names

  • Paige Chapman (Former Name)

Practice location

6100 Newport Road, Suite 100
Kalamazoo Dermatology, P.C.
Portage, MI 49002-9235

Phone 269-343-4679 · Fax 269-343-5929

Mailing address

6100 Newport Rd Ste 100
Portage, MI 49002-9235

Phone 269-343-4679 · Fax 269-343-5929

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Medical Physician Assistant providers in Portage, MI

All 8 Medical Physician Assistant providers in Portage · All 1,955 providers in Portage

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