WHITNEY LAYNE WICKLUND
NPI 1194333831
Nurse Practitioner - Family in Staten Island, NY
About Whitney Layne Wicklund NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITNEY LAYNE WICKLUND (NPI 1194333831) is an individual family provider in Staten Island, New York, licensed in New York (F04220230) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Whitney Layne Wicklund is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Whitney Wicklund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10310
STATEN ISLAND, NY 10310
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 Whitney Wicklund's NPI number?
The NPI number for Whitney Wicklund is 1194333831. It was assigned to this individual provider in the NPPES registry on July 20, 2020.
Where is Whitney Wicklund located?
Whitney Wicklund practices at 519 Broadway, Staten Island, NY 10310. The listed phone number is (718) 447-5437.
What is Whitney Wicklund's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Whitney Wicklund enrolled in Medicare?
Yes. Whitney Wicklund is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Whitney Wicklund's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Wicklund reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The 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 Whitney Wicklund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Whitney Wicklund was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Whitney Layne Wicklund · NPI 1194333831
Family physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since July 20, 2020.
## Identity
- **NPI:** 1194333831 (Entity type: Individual)
- **Enumerated:** July 20, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F04220230 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 519 BROADWAY, Staten Island, NY 10310-2822
- **Phone:** (718) 447-5437
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advocare, LLC (NPI 1770538696, Marlton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194333831) · Data from the CMS NPPES public registry.