Vanessa Michelle Wickham, NP, CNS

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP95030225 Issued in CA

Practice address

9850 Genesee Ave Ste 560
La Jolla, CA 92037-1229

Phone

(858) 552-1410

NPI assigned

Jul 26, 2024

Last updated

Apr 6, 2026By the provider in NPPES

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

Other names 1

• Miss Vanessa Michelle Johnston Former name

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Cancer Associates for Research and Excellence IncGroup PAC ID 8022918937, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elizabeth Hospice Hospice, Escondido, CA, CCN 051528

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Cancer Associates for Research and Excellence Inc

  dba Ccare

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1083661607
  Medicare reassignment Care Compare group NPD (past)
• Elizabeth Supportive Medical Specialists, a Medical Corporation

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Escondido, CA
  • NPI 1154861979
  NPD
• California Cancer Associates for Research and Excellence Inc

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1902359425
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Elizabeth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Escondido, CA
  • NPI 1538168950
  Care Compare affiliation

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1720817018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 JAMESTOWN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171244",
            "telephone_number": "714-824-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 560",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-552-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Santa Fe Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245157",
            "country_code": "US",
            "telephone_number": "760-452-3340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28708 Baxter Road",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "country_code": "US",
            "telephone_number": "760-733-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16918 Dove Canyon Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921273455",
            "country_code": "US",
            "telephone_number": "858-649-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "838 Nordahl Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920693599",
            "country_code": "US",
            "telephone_number": "760-747-8935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "959 LANE AVE STE 100 BLDG B",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144519",
            "country_code": "US",
            "telephone_number": "619-880-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "VANESSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95030225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "JOHNSTON",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherie L Whiting, NP
• Robin Whitman, NP
• Whitney McFadden MD PC
• Wayne B. Whitwam, M.D.
• Rachel Marie Whynott, M.D.
• Praveen Dewinda Wickremasinghe, MD
• Brenda Kay Wiederhold, PH.D.
• Wieseltier, Steigerwald, Pal, Inc (MSK Docs)
• Christopher T Wiesner, M.D.
• Diana B Wiggins, RD-CDE

• Adult Health Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.