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DR. ANDREW EVERETT WICKE D.M.D.
NPI 1386081628
Dentist - Oral and Maxillofacial Surgery in Hendersonville, TN

Active since May 28, 2013Opted out of Medicare · through Nov 10, 2026
131 INDIAN LAKE BLVD STE 100, HENDERSONVILLE, TN 37075(615) 822-8403(615) 537-7696 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Andrew Everett Wicke D.m.d. NPPES

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

DR. ANDREW EVERETT WICKE D.M.D. (NPI 1386081628) is an individual oral and maxillofacial surgery provider in Hendersonville, Tennessee, licensed in Tennessee (9682) and active in the NPI registry since May 2013. He has opted out of Medicare through November 10, 2026 and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1386081628
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANDREW EVERETT WICKECredential: D.M.D.
Location Address131 INDIAN LAKE BLVD STE 100Hendersonville, TN 37075-6207
Mailing Address131 Indian Lake Blvd Ste 100Hendersonville, TN 37075-6207 · (615) 822-8403 · Fax (615) 537-7696
Phone(615) 822-8403
Fax(615) 537-7696
Sole ProprietorNo
Enumeration DateMay 28, 2013
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1386081628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · 9682
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 9682 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
131 INDIAN LAKE BLVD STE 100, Hendersonville, TN 37075
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Secondary Practice Location 1

Location 11623 The Vanderbilt Clinic, Dept. of OMFS, V.U. Medical CenterNashville, TN 37232-0001 · Phone (615) 343-9404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Andrew Everett Wicke D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2022 through November 10, 2026.

Opt-Out Effective DateNovember 10, 2022
Opt-Out In Effect ThroughNovember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

JOSEPH ROMAN MORT
Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD STE 100
HENDERSONVILLE, TN 37075
Sumner County (615) 822-8403

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 Andrew Wicke's NPI number?

The NPI number for Andrew Wicke is 1386081628. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Andrew Wicke located?

Andrew Wicke practices at 131 Indian Lake Blvd Ste 100, Hendersonville, TN 37075. The listed phone number is (615) 822-8403.

What is Andrew Wicke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Andrew Wicke enrolled in Medicare?

No. Andrew Wicke has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Andrew Wicke accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Andrew Wicke 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 Andrew Wicke was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.