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NICOLE LYNN WICKOREN CRNA
NPI 1104448943
Nurse Anesthetist, Certified Registered in Overland Park, KS

Active since May 14, 2020PECOS EnrolledAccepts Medicare Assignment
7820 W 165TH ST, OVERLAND PARK, KS 66223(913) 373-2000(913) 428-2951 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, May 27, 2020, May 21, 2020 and 1 more (4 updates tracked since 2020).

About Nicole Lynn Wickoren Crna NPPES

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

NICOLE LYNN WICKOREN CRNA (NPI 1104448943) is an individual nurse anesthetist, certified registered in Overland Park, Kansas, licensed in Kansas (43-557796) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1104448943
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNICOLE LYNN WICKORENCredential: CRNA
Location Address7820 W 165TH STOverland Park, KS 66223-2925
Mailing Address8717 W 110th St Ste 600Overland Park, KS 66210-2126 · (913) 428-2900 · Fax (913) 428-2951
Phone(913) 373-2000
Fax(913) 428-2951
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 14, 2020
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1104448943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in KS · 43-557796✔ Licensed in MO · 2020012946
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2005038282 (MO)
7820 W 165TH ST, Overland Park, KS 66223
Open in Google Maps ↗

Secondary Practice Location 1

Location 12316 E Meyer BlvdKansas City, MO 64132-1136 · Phone (913) 428-2900 · Fax (913) 428-2951

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Lynn Wickoren Crna 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 ID42632770
PECOS Enrollment IDI20200625000241, I20200828002776
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Wickoren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates Of Kansas City PA
6.6 mi
Anesthesiology
8717 W 110TH ST, SUITE 600
Overland Park, KS 66210
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 328 clinicians in this Medicare group
NPI 1174504732 (913) 428-2900
Northstar Anesthesia Of Missouri, LLC
429 mi
Anesthesiology
6225 N STATE HIGHWAY 161, SUITE 200
Irving, TX 75038
  • Reassigned Medicare billing, Missouri enrollment
  • 189 clinicians in this Medicare group
NPI 1396191789 (214) 687-0001

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

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66223 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Other Providers at the Same Location NPPES 12

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

CASSIE CHRISTINE DIETRICH M.D.
Anesthesiology
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 373-2000
ZANKHANA BHAKTA CRNA
Nurse Anesthetist, Certified Registered
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 373-2000
NAKIETA JONES CSFA
Specialist/Technologist, Other (Surgical Assistant)
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 373-2000
DR. KAITLIN ROSE MD
Hospitalist
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 373-2000
MID-AMERICA ORTHOPEDICS KC LLC
Durable Medical Equipment & Medical Supplies
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 232-9846
KATHARINE C. NOVAK MD
Anesthesiology
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 373-2000
ADVENTHEALTH SOUTH OVERLAND PARK, INC.
General Acute Care Hospital
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 373-1100
DR. ERIC GEORGE DO
Internal Medicine
7820 W 165TH ST
OVERLAND PARK, KS 66223
Johnson County (913) 373-1100

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 Nicole Wickoren's NPI number?

The NPI number for Nicole Wickoren is 1104448943. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Nicole Wickoren located?

Nicole Wickoren practices at 7820 W 165th St, Overland Park, KS 66223. The listed phone number is (913) 373-2000.

What is Nicole Wickoren's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicole Wickoren enrolled in Medicare?

Yes. Nicole Wickoren 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.

Which organizations bill Medicare for Nicole Wickoren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wickoren reassigns Medicare benefits to 2 organizations: Anesthesia Associates Of Kansas City PA (Overland Park, KS) and Northstar Anesthesia Of Missouri, LLC (Irving, TX). Each 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 Nicole Wickoren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Wickoren accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Nicole Wickoren 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.

Is Nicole Wickoren affiliated with any hospitals?

According to CMS data, Nicole Wickoren is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Nicole Wickoren was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.