Individual provider Active NPI

Donna C Wicker, MD

  • Obstetrics & Gynecology Physician
  • Fredericksburg, VA
National Provider Identifier
1023128931
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101043788 Issued in VA
Practice address
4701 Spotsylvania Parkway
Suite 200
Fredericksburg, VA 22401
Phone
(540) 834-5420
Fax
(540) 834-5421
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101043788 VA Primary

Addresses

Primary practice location

4701 Spotsylvania Parkway
Suite 200
Fredericksburg, VA 22401

Mailing address

PO Box 1460
Fredericksburg, VA 22402-1460
Phone (540) 786-2100

Other practice location 1

541 Sunset Ln Ste 103
Culpeper, VA 22701-3903
Phone (540) 321-3002

Other identifiers 3

IdentifierTypeStateIssuer
P00822131OtherVAMEDICARE RAILROAD
006209505MedicaidVA
540896390OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090827000664 VA Practitioner - Obstetrics/Gynecology 3274688247 Reassigns benefits to 3 organizations
I20221219000695 DE Practitioner - Obstetrics/Gynecology 3274688247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101043788VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Delaware, Inc. Obstetrics & Gynecology CurrentSince Sep 7, 2022 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Sep 7, 2019 Accepting new patients
Uva Community Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 4, 2021 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Sep 4, 2021 Accepting new patients
Spotsylvania Multi-Specialty Group, LLC Obstetrics & Gynecology PastSince Oct 16, 2019 Accepting new patients
Fredericksburg OBGYN Center Inc Obstetrics & Gynecology Past Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

7915 Lake Manassas Dr
Ste 205
Gainesville, VA 20155
Phone (571) 261-3529

8640 Sudley Rd
Ste 303
Manassas, VA 20110
Phone (703) 361-7778

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1023128931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224021460",
            "telephone_number": "540-786-2100",
            "fax_number": "540-786-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PARKWAY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-834-5420",
            "fax_number": "540-834-5421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Sunset Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013903",
            "country_code": "US",
            "telephone_number": "540-321-3002",
            "fax_number": "540-829-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKER",
        "first_name": "DONNA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101043788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00822131",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006209505",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "540896390",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.