Chelsey Marie Wicker, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009714A Issued in IN

Practice address

655 US Highway 31 S
Greenwood, IN 46142-3061

Phone

(317) 881-1655

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

No

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 IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Cleanslate Medical Group of Indiana LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Alexandria, IN
  • NPI 1023464294
  Medicare reassignment NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1386275584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 US HIGHWAY 31 S",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423061",
            "telephone_number": "317-881-1655",
            "fax_number": "317-455-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 US HIGHWAY 31 S",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423061",
            "telephone_number": "317-881-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6920 Gatwick Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462419619",
            "country_code": "US",
            "telephone_number": "317-455-1064",
            "fax_number": "317-455-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKER",
        "first_name": "CHELSEY",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009714A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Whitis Cox, FNP-C
• Heidi Lisa Whitrock, COTA/L
• Dante Whitton, RBT
• Heather Wiand, MA, BCBA
• Spencer Wichert, DC
• Brendon Widau, DPT, PT
• Kristin Wietecha
• Natalie Wigand
• Wigs We Care
• Jeremy J Wilber, MD

• Family Nurse Practitioner in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.