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BREANNA WICKETT PA-C
NPI 1134690779
Physician Assistant in Ankeny, IA

Active since December 07, 2018PECOS EnrolledAccepts Medicare Assignment
1410 SW TRADITION DR STE 260, ANKENY, IA 50023(515) 875-9290(515) 875-9291 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 19, 2024, Jan 25, 2022, Feb 14, 2019 and 1 more (4 updates tracked since 2018).

About Breanna Wickett Pa-c NPPES

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

BREANNA WICKETT PA-C (NPI 1134690779) is an individual physician assistant in Ankeny, Iowa, licensed in Iowa (094923) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134690779
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREANNA WICKETTCredential: PA-C
Location Address1410 SW TRADITION DR STE 260Ankeny, IA 50023-9188
Mailing AddressPo Box 424Des Moines, IA 50302-0424 · (515) 875-9255 · Fax (515) 875-9223
Phone(515) 875-9290
Fax(515) 875-9291
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 7, 2018
Last NPPES UpdateOctober 15, 20244 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1134690779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 094923
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1410 SW TRADITION DR STE 260, Ankeny, IA 50023
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.Insurance ›

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

Breanna Wickett Pa-c 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 ID1557600921
PECOS Enrollment IDI20190228002868
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50023 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 2

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

JESSICA LEANN KARWOSKI ARNP
Nurse Practitioner
1410 SW TRADITION DR STE 260
ANKENY, IA 50023
Polk County (515) 875-9290
MRS. STEPHANIE D ALCORN CNM ARNP
Nurse Practitioner
1410 SW TRADITION DR STE 260
ANKENY, IA 50023
Polk County (515) 875-9290

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 Breanna Wickett's NPI number?

The NPI number for Breanna Wickett is 1134690779. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Where is Breanna Wickett located?

Breanna Wickett practices at 1410 SW Tradition Dr Ste 260, Ankeny, IA 50023. The listed phone number is (515) 875-9290.

What is Breanna Wickett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breanna Wickett enrolled in Medicare?

Yes. Breanna Wickett 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.

What insurance does Breanna Wickett accept?

Health plans from Medica and Oscar Insurance Company list Breanna Wickett 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 Breanna Wickett was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.