Individual provider Active NPI

Darcy Wikoff, FNP

  • Family Nurse Practitioner
  • Citrus Heights, CA
National Provider Identifier
1356898688
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004408 Issued in CA
Practice address
5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700
Phone
(916) 725-1177
Fax
(916) 877-8225
NPI assigned
Sep 2, 2016
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004408 CA Primary

Addresses

Primary practice location

5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700

Mailing address

6320 Edgewood Way
Rocklin, CA 95677-3406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001677 CA Practitioner - Nurse Practitioner 2365858016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004408CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Feb 26, 2021 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Feb 26, 2021 Accepting new patients
Wellspace Health Past Accepting new patients
Wellspace Health Past Accepting new patients
Wellspace Health Past Accepting new patients

Locations

5959 Greenback Ln
Ste 500
Citrus Heights, CA 95621
Phone (916) 725-1177

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: darcy.wikofffnp.p1@direct.wellspacehealth.nextgenshare.com
  • Direct secure messaging: dwikoff769547@direct.ochin.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1356898688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 EDGEWOOD WAY",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 500",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-725-1177",
            "fax_number": "916-877-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKOFF",
        "first_name": "DARCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.