| Pinnacle Medical Group Hicks PC | |
|
5975 S Los Altos Pkwy Sparks NV 89436-7699 | |
| (775) 204-4000 | |
| Not Available |
| Full Name | Pinnacle Medical Group Hicks PC |
|---|---|
| Speciality | Family Medicine |
| Location | 5975 S Los Altos Pkwy, Sparks, Nevada |
| Authorized Official Name and Position | Ronald Hicks (PRESIDENT) |
| Authorized Official Contact | 7752044000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Medical Group Hicks PC 5975 S Los Altos Pkwy Sparks NV 89436-7699 | Pinnacle Medical Group Hicks PC 5975 S Los Altos Pkwy Sparks NV 89436-7699 Ph: (775) 204-4000 |
| NPI Number | 1548869381 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Medicare PECOS PAC ID | 4385059625 |
|---|---|
| Medicare Enrollment ID | O20210218000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548869381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Ronald Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326044520 PECOS PAC ID: 8527049220 Enrollment ID: I20040527001292 |
| Provider Name | Randi F Grinsell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710985262 PECOS PAC ID: 1254305998 Enrollment ID: I20040819001357 |
| Provider Name | Catherine D Estipona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760556534 PECOS PAC ID: 0749222677 Enrollment ID: I20050601000435 |
| Provider Name | Jeffrey Basa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992851323 PECOS PAC ID: 0840210654 Enrollment ID: I20051122000829 |
| Provider Name | Catherine J Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649364613 PECOS PAC ID: 2163527714 Enrollment ID: I20070410000658 |
| Provider Name | Laura Sheeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669483327 PECOS PAC ID: 1951464502 Enrollment ID: I20090108000534 |
| Provider Name | Devangi D Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710155163 PECOS PAC ID: 6709949118 Enrollment ID: I20090112000477 |
| Provider Name | Veronica M Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154393528 PECOS PAC ID: 2769496082 Enrollment ID: I20100326000287 |
| Provider Name | John R Holman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215938394 PECOS PAC ID: 1254463227 Enrollment ID: I20100712000184 |
| Provider Name | Katie a Dolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396718342 PECOS PAC ID: 5698809846 Enrollment ID: I20100810000947 |
| Provider Name | John H Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730152364 PECOS PAC ID: 0345374427 Enrollment ID: I20100811000136 |
| Provider Name | Valerie D Leitko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336318583 PECOS PAC ID: 5991821613 Enrollment ID: I20100929001647 |
| Provider Name | Terri H Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992931612 PECOS PAC ID: 4082895651 Enrollment ID: I20110302000527 |
| Provider Name | Staci a Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073836276 PECOS PAC ID: 4183762263 Enrollment ID: I20111129000270 |
| Provider Name | Brianne M Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578804035 PECOS PAC ID: 0547406019 Enrollment ID: I20130429000675 |
| Provider Name | Oluwatoyin Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881855526 PECOS PAC ID: 7517139397 Enrollment ID: I20140120000382 |
| Provider Name | Ansley K Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245653773 PECOS PAC ID: 1557594967 Enrollment ID: I20140508001345 |
| Provider Name | Kristin M Astrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982693859 PECOS PAC ID: 2961641923 Enrollment ID: I20140902001942 |
| Provider Name | Julia C Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063827327 PECOS PAC ID: 7315165289 Enrollment ID: I20140908000035 |
| Provider Name | Jessica M Curti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851524235 PECOS PAC ID: 1557585379 Enrollment ID: I20140917000126 |
| Provider Name | Leighanne Shirey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922481951 PECOS PAC ID: 1850609819 Enrollment ID: I20150924003049 |
| Provider Name | Rommel Q Co |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548649924 PECOS PAC ID: 8729397898 Enrollment ID: I20151013000820 |
| Provider Name | Melissa Delamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003257775 PECOS PAC ID: 9436459310 Enrollment ID: I20151125000693 |
| Provider Name | Kamberlyn J O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699910703 PECOS PAC ID: 7315161221 Enrollment ID: I20170221002191 |
| Provider Name | Renee L Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255721536 PECOS PAC ID: 7416274485 Enrollment ID: I20180314001417 |
| Provider Name | Catherine Marie Pinkston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962897611 PECOS PAC ID: 3678823317 Enrollment ID: I20180830001169 |
| Provider Name | Julie L Hilario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396573 PECOS PAC ID: 2860746385 Enrollment ID: I20181119001936 |
| Provider Name | Abigail P Connell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801441530 PECOS PAC ID: 3173854395 Enrollment ID: I20191018001189 |
| Provider Name | Ryan J Aiazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317966 PECOS PAC ID: 6305270372 Enrollment ID: I20191227001664 |
| Provider Name | Lucia Amanda Sanchez-lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407492853 PECOS PAC ID: 5991133878 Enrollment ID: I20200309001713 |
| Provider Name | Lara Kristina Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427660992 PECOS PAC ID: 1951721661 Enrollment ID: I20201019002945 |
| Provider Name | Colleen Lindleaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417376781 PECOS PAC ID: 6507172939 Enrollment ID: I20210510002601 |
| Provider Name | Tyler Braz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245414341 PECOS PAC ID: 8022356005 Enrollment ID: I20210518001035 |
| Provider Name | Vicky M Moe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265662431 PECOS PAC ID: 9931382264 Enrollment ID: I20210923003291 |
| Provider Name | Lauren Poppen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306275607 PECOS PAC ID: 1759512916 Enrollment ID: I20220523001222 |
| Provider Name | Allyson Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770297228 PECOS PAC ID: 0547635575 Enrollment ID: I20230405001310 |
| Provider Name | Elizabeth a Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932872686 PECOS PAC ID: 2264823566 Enrollment ID: I20231122002730 |
| Provider Name | Tequila Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851171789 PECOS PAC ID: 9830540137 Enrollment ID: I20240111001535 |
| Provider Name | Mary Edith Sellars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790378446 PECOS PAC ID: 9638609365 Enrollment ID: I20250211002804 |
| Provider Name | Shonda Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053037762 PECOS PAC ID: 3577070010 Enrollment ID: I20250729002543 |
| Provider Name | Jennifer Leigh Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700682770 PECOS PAC ID: 9537652268 Enrollment ID: I20251202001805 |
| Provider Name | Mohammad Azim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932841012 PECOS PAC ID: 5698144194 Enrollment ID: I20260119000516 |
| Provider Name | Marlyce Elizabeth Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568326767 PECOS PAC ID: 7416436811 Enrollment ID: I20260205003716 |
| Provider Name | Breanna Echevarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679386619 PECOS PAC ID: 2264907849 Enrollment ID: I20260410003170 |
| Provider Name | Renee Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265411870 PECOS PAC ID: 2961577416 Enrollment ID: I20260515001041 |
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