OLIVIA WICKER MD
NPI 1093558629
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Olivia Wicker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVIA WICKER MD (NPI 1093558629) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351053554) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olivia Wicker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Olivia Wicker's NPI number?
The NPI number for Olivia Wicker is 1093558629. It was assigned to this individual provider in the NPPES registry on June 12, 2024.
Where is Olivia Wicker located?
Olivia Wicker practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.
What is Olivia Wicker's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Olivia Wicker enrolled in Medicare?
Yes. Olivia Wicker is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Olivia Wicker was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Olivia Wicker, MD · NPI 1093558629
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 12, 2024.
## Identity
- **NPI:** 1093558629 (Entity type: Individual)
- **Enumerated:** June 12, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351053554 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093558629) · Data from the CMS NPPES public registry.