Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Garrett Douglas Hicks

Individual provider Certified Registered Nurse Anesthetist · NPI 1568014561

Garrett Douglas Hicks is a Certified Registered Nurse Anesthetist (CRNA) in Fresno, California. Qualified in 2025, 1 year ago. Practices with Northeastern Anesthesia PLLC, a 83-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone: (559) 450-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002812 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95011637 (CA)

Record details

NPI number1568014561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2019
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeastern Anesthesia Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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