KENNETH JAMES WICKEY PA
NPI 1003506114
Physician Assistant in Charlotte, NC

Q: What is Kenneth Wickey's NPI number?

The NPI number for Kenneth Wickey is 1003506114. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Q: What is Kenneth Wickey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Wickey was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2023PECOS EnrolledAccepts Medicare Assignment

3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208(704) 332-0396 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Aug 20, 2024, May 11, 2023 (3 updates tracked since 2023).

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About Kenneth James Wickey Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH JAMES WICKEY PA (NPI 1003506114) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-13919) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003506114

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENNETH JAMES WICKEYCredential: PA

Location Address3158 FREEDOM DR STE 3102Charlotte, NC 28208-0014

Mailing Address3158 Freedom Dr Ste 3101Charlotte, NC 28208-0014 · (704) 348-2992

Phone(704) 332-0396

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 11, 2023

Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1003506114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-13919

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3158 FREEDOM DR STE 3102, Charlotte, NC 28208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth James Wickey Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092151621

PECOS Enrollment IDI20240306001018

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

77 services55 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

59 services36 patients

Kidney function blood test panel 80069

A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.

46 services30 patients

Tacrolimus level 80197

A Tacrolimus level test measures the amount of Tacrolimus, a medication used to prevent organ rejection after a transplant, in your blood. The test ensures the drug is working effectively and not causing harmful side effects. Regular monitoring is essential for your health.

45 services27 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

45 services29 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

21 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNE SINCLAIR AUDETTE FNP-C

Nurse Practitioner