NPIMap

Individual provider Active NPI

Mitchell Wicker Jr., MD

  • Internal Medicine Physician
  • Hazard, KY
National Provider Identifier
1730182841
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21790 Issued in KY
Practice address
181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone
(606) 439-1316
Fax
(606) 439-8457
NPI assigned
May 23, 2005
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21790 KY Primary

Addresses

Primary practice location

181 Roy Campbell Dr
Hazard, KY 41701-9407

Mailing address

181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316

Other identifiers 1

IdentifierTypeStateIssuer
64217904MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitchellwicker@arh.medalliesdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000471 KY Practitioner - Internal Medicine 2365337946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

110 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 487-7902

181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316

37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21790KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 23, 2017 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Internal Medicine Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 23, 2017 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Internal Medicine CurrentSince Aug 26, 2018 Accepting new patients
Hazard Nursing Home, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Mitchell Wicker., Jr., M.D., P.S.C. Internal Medicine Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

271 E Main St
Hazard, KY 41701
Phone (606) 439-1316

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

11087 Main St
Martin, KY 41649
Phone (606) 285-3690

Interoperability endpoints

  • Direct secure messaging: mitchellwicker@arh.medalliesdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1730182841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019407",
            "telephone_number": "606-439-1316",
            "fax_number": "606-439-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019407",
            "telephone_number": "606-439-1316",
            "fax_number": "606-439-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "MITCHELL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "21790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64217904",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitchellwicker@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "181 Roy Campbell Dr",
            "city": "Hazard",
            "state": "KY",
            "country_code": "US",
            "postal_code": "417019407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.