1. Home
  2. Directory
  3. Virginia
  4. Roanoke
  5. Physician Assistant
  6. NPI Profile

ALEXANDRIA WICKMAN
NPI 1235856626
Physician Assistant in Roanoke, VA

Active since October 26, 2022PECOS Enrolled
806 WASENA AVE SW APT 423, ROANOKE, VA 24015(252) 349-2289 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Oct 26, 2022 (2 updates tracked since 2022).

About Alexandria Wickman NPPES

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

ALEXANDRIA WICKMAN (NPI 1235856626) is an individual physician assistant in Roanoke, Virginia, licensed in Virginia (0110009034) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235856626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRIA WICKMAN
Location Address806 WASENA AVE SW APT 423Roanoke, VA 24015-5354
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5352
Phone(252) 349-2289
Sole ProprietorNo
Enumeration DateOctober 26, 2022
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1235856626 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 VA · 0110009034
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.
806 WASENA AVE SW APT 423, Roanoke, VA 24015
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Wickman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
106 services105 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24015 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Alexandria Wickman's NPI number?

The NPI number for Alexandria Wickman is 1235856626. It was assigned to this individual provider in the NPPES registry on October 26, 2022.

Where is Alexandria Wickman located?

Alexandria Wickman practices at 806 Wasena Ave SW Apt 423, Roanoke, VA 24015. The listed phone number is (252) 349-2289.

What is Alexandria Wickman's specialty?

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

Is Alexandria Wickman enrolled in Medicare?

Yes. Alexandria Wickman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandria Wickman was last updated on February 8, 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.