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MRS. FUSAE MARY WICKS NP
NPI 1093856130
Nurse Practitioner in Las Vegas, NV

Active since February 10, 2007PECOS EnrolledAccepts Medicare Assignment
4560 S EASTERN AVE STE 15, LAS VEGAS, NV 89119(702) 994-7267(702) 623-5995 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2021, May 14, 2020, Jan 13, 2020 (3 updates tracked since 2020).

About Mrs. Fusae Mary Wicks Np NPPES

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

MRS. FUSAE MARY WICKS NP (NPI 1093856130) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (813615) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1093856130
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. FUSAE MARY WICKSCredential: NP
Location Address4560 S EASTERN AVE STE 15Las Vegas, NV 89119-6182
Mailing Address7104 Carmen BlvdLas Vegas, NV 89128-3430 · (702) 994-7267 · Fax (702) 623-5995
Phone(702) 994-7267
Fax(702) 623-5995
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 10, 2007
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1093856130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NV · 813615
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4560 S EASTERN AVE STE 15, Las Vegas, NV 89119
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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

Mrs. Fusae Mary Wicks Np 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 ID2163853466
PECOS Enrollment IDI20200520000544
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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MEILAN L DAGUMAN APRN PLLC
Nurse Practitioner (Primary Care)
4560 S EASTERN AVE STE 15
LAS VEGAS, NV 89119
Clark County (702) 994-7267
MEILAN L DAGUMAN AGPCNP
Nurse Practitioner
4560 S EASTERN AVE STE 15
LAS VEGAS, NV 89119
Clark County (702) 994-7267
AMANDA DOMINGUEZ MPH
Community Health Worker
4560 S EASTERN AVE STE 15
LAS VEGAS, NV 89119
Clark County (702) 401-0811
MRS. VERONICA PEREZ-KAHL LCSW
Social Worker (Clinical)
4560 S EASTERN AVE STE 15
LAS VEGAS, NV 89119
Clark County (702) 498-3391

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 Fusae Wicks's NPI number?

The NPI number for Fusae Wicks is 1093856130. It was assigned to this individual provider in the NPPES registry on February 10, 2007.

Where is Fusae Wicks located?

Fusae Wicks practices at 4560 S Eastern Ave Ste 15, Las Vegas, NV 89119. The listed phone number is (702) 994-7267.

What is Fusae Wicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fusae Wicks enrolled in Medicare?

Yes. Fusae Wicks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Fusae Wicks was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.