Miss Kristen Lynne Hickok, FNP-BC in Rancho Mirage, CA

Miss Kristen Lynne Hickok, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Rancho Mirage, California. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tobias Moeller-bertram Md Corporation and her current practice location is 36101 Bob Hope Dr Ste A, Rancho Mirage, California. You can reach out to her office (for appointments etc.) via phone at (760) 321-1315.

Miss Kristen Lynne Hickok is licensed to practice in California (license number 95013946) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497380992.

Contact Information

	Miss Kristen Lynne Hickok, FNP-BC
	36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001
	(760) 321-1315
	(760) 321-1094

Map and Direction

Provider's Profile

Full Name	Miss Kristen Lynne Hickok
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	36101 Bob Hope Dr Ste A, Rancho Mirage, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Kristen Lynne Hickok graduated from nursing school in 2019

NPI Data:

NPI Number: 1497380992
Provider Enumeration Date: 03/05/2020
Last Update Date: 03/04/2026

Medicare PECOS Information:

PECOS PAC ID: 4082037247
Enrollment ID: I20200706002708

Medical Identifiers

Medical identifiers for Miss Kristen Lynne Hickok such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497380992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95013946 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tobias Moeller-bertram Md Corporation	1456586064	29

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Kristen Lynne Hickok allows following entities to bill medicare on her behalf.

Entity Name	Tobias Moeller-bertram Md Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kristen Lynne Hickok is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Kristen Lynne Hickok, FNP-BC 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 Ph: (760) 321-1315	Miss Kristen Lynne Hickok, FNP-BC 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 Ph: (760) 321-1315

Reviews and Comments

Nurse Practitioner Nurses in Rancho Mirage, CA

Ervin Xhufka, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543
Ms. Rosie Knauf, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911
Cynthia Jovanov, RN, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1885
Richard Pessagno, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8767 Fax: 760-837-8806
Maria Florina Aleth D Mangosing Ignacio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, Rancho Mirage, CA 92270 Phone: 760-837-8535
Dr. Leesa Simanton Booth, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Calle De Las Rosas, Rancho Mirage, CA 92270 Phone: 760-578-3601
Mr. Wayne Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36101 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270 Phone: 760-773-4948

Miss Kristen Lynne Hickok, FNP-BC - Medicare Nurse Practitioner in Rancho Mirage, CA