MARSHALL R. WICKENS DO, PC
NPI 1043616378
Family Medicine in Reed City, MI

Q: What is Marshall R. Wickens Do, PC's NPI number?

The NPI number for Marshall R. Wickens Do, PC is 1043616378. It was assigned to this organization in the NPPES registry on November 13, 2014.

Q: What is Marshall R. Wickens Do, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 13, 2014CLIA 23D2015300 · Waiver

207 S CHESTNUT ST UNIT B, REED CITY, MI 49677(231) 832-9488(231) 832-9348 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marshall R. Wickens Do, Pc NPPES

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

MARSHALL R. WICKENS DO, PC (NPI 1043616378) is a healthcare organization registered as a family medicine in Reed City, Michigan and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Marshall Robert Wickens, Owner, as its authorized official.

NPPES Registry Identity

NPI1043616378

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARSHALL R. WICKENS DO, PC

Location Address207 S CHESTNUT ST UNIT BReed City, MI 49677-1205

Mailing Address207 S Chestnut St Unit BReed City, MI 49677-1205 · (231) 832-9488 · Fax (231) 832-9348

Phone(231) 832-9488

Fax(231) 832-9348

Organization SubpartNo

Authorized OfficialMarshall Robert WickensOwner · (231) 832-9488

Enumeration DateNovember 13, 2014

✔ NPI 1043616378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101011160

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

207 S CHESTNUT ST UNIT B, Reed City, MI 49677

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2015300

Marshall Wickens Do · Reed City, MI

Active · expires Oct 25, 2026

CLIA Number23D2015300

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorMarshall Wickens

Laboratory Phone(231) 832-9488

Laboratory LocationMarshall Wickens Do207 B S Chestnut Street, Reed City, MI 49677

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MARSHALL WICKENS DO

Family Medicine

207 S CHESTNUT ST UNIT B
REED CITY, MI 49677

Osceola County (231) 832-9488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall R. Wickens Do, PC's NPI number?

The NPI number for Marshall R. Wickens Do, PC is 1043616378. It was assigned to this organization in the NPPES registry on November 13, 2014.

Where is Marshall R. Wickens Do, PC located?

Marshall R. Wickens Do, PC is located at 207 S Chestnut St Unit B, Reed City, MI 49677. The listed phone number is (231) 832-9488.

What is Marshall R. Wickens Do, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Marshall R. Wickens Do, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2015300) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marshall R. Wickens Do, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Marshall R. Wickens Do, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marshall R. Wickens Do, PC was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.