Edward A Wicker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21477 Issued in NE

Practice address

3309 N 25TH St
Norfolk, NE 68701-9636

Phone

(402) 402-9076

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alegent Health Memorial Hospital Schuyler

  • Family Medicine Physician
  • Schuyler, NE
  • NPI 1780601781
  Medicare reassignment NPD
• Lexington Regional Health Center

  • Emergency Medicine Physician
  • Lexington, NE
  • NPI 1316016165
  Medicare reassignment NPD
• Lexington Regional Health Center

  • Critical Access Hospital
  • Lexington, NE
  • NPI 1467417352
  Medicare reassignment NPD
• Pender Community Hospital District

  • Critical Access Hospital
  • Pender, NE
  • NPI 1578627196
  Medicare reassignment NPD
• Pender Community Hospital District

  • Family Medicine Physician
  • Pender, NE
  • NPI 1992869101
  Medicare reassignment NPD
• Alegent Health Memorial Hospital, Schuyler

  • Medicare Defined Swing Bed Hospital Unit
  • Schuyler, NE
  • NPI 1548345028
  NPD
• Lexington Regional Health Center

  • Rural Health Clinic/Center
  • Lexington, NE
  • NPI 1144888579

  Family Medicine

  NPD
• Pender Community Hospital District

  • Rural Health Clinic/Center
  • Emerson, NE
  • NPI 1285062943

  Family Medicine

  NPD
• Pender Community Hospital District

  • Rural Health Clinic/Center
  • Pender, NE
  • NPI 1972931657

  Family Medicine

  NPD
• Norfolk Family Medicine, PC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1982649380
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1104805241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 N 25TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687019636",
            "telephone_number": "402-640-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 N 25TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687019636",
            "telephone_number": "402-402-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara White
• Kimberly Whitewater
• Connie Ann Whitten
• Jodi Linn Whitten
• Clint Whitwer, PA
• Lyle Widhalm
• Melissa Widner
• Mikayla Wiebe
• Hannah Wiebelhaus
• Avery V Wiemer

• Family Medicine Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.