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

Active since November 13, 2014
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: October 25, 2026.

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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall R. Wickens Do, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Marshall R. Wickens Do, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1861459059
207 S CHESTNUT ST
Reed City, MI 49677
(231) 832-9488
✔ PECOS0.2 mi
Family Practice
NPI 1841263134
207 S CHESTNUT ST UNIT B
Reed City, MI 49677
(231) 832-9488
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Expired · 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.

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.

Is Marshall R. Wickens Do, PC enrolled in Medicare?

Yes. Marshall R. Wickens Do, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marshall R. Wickens Do, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Marshall R. Wickens Do, PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.