MARY JO WICKS NP
NPI 1407952542
Nurse Practitioner - Family in Dickinson, ND

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
73.87/100
CMS Quality Rating
938 2ND AVE W, DICKINSON, ND 58601(701) 456-6000(701) 456-6101 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jo Wicks Np NPPES

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

MARY JO WICKS NP (NPI 1407952542) is an individual family provider in Dickinson, North Dakota, licensed in North Dakota (R26972) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health Dickinson, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1407952542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY JO WICKSCredential: NP
Location Address938 2ND AVE WDickinson, ND 58601-3916
Mailing AddressPo Box 5501Bismarck, ND 58506-5501 · (701) 323-6000 · Fax (701) 323-5709
Fax(701) 456-6101
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJanuary 12, 2011
NPI 1407952542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ND · R26972
938 2ND AVE W, Dickinson, ND 58601

Other Names 1

Former Name (1)Mary Jo Hammerschmdt Np

Other Identifiers 3

Medicare UPINQ00488ND
Medicaid19746ND
Medicare PIN23415ND

Accepted 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

Mary Jo Wicks Np 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 ID2769388313
PECOS Enrollment IDI20031212000291
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.

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351336
Location2500 Fairway StreetDickinson, ND 58601 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58601 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.05
Improvement Activities40
Cost95.3

Other Providers at the Same Location NPPES 14

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

Family Medicine
938 2ND AVE W
DICKINSON, ND 58601
Internal Medicine
938 2ND AVE W
DICKINSON, ND 58601
Pediatrics
938 2ND AVE W
DICKINSON, ND 58601
Obstetrics & Gynecology
938 2ND AVE W
DICKINSON, ND 58601
Obstetrics & Gynecology
938 2ND AVE W
DICKINSON, ND 58601
Family Medicine
938 2ND AVE W
DICKINSON, ND 58601
Nurse Practitioner (Family)
938 2ND AVE W
DICKINSON, ND 58601
Family Medicine
938 2ND AVE W
DICKINSON, ND 58601

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 Mary Wicks's NPI number?

The NPI number for Mary Wicks is 1407952542. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Mary Jo Hammerschmdt Np.

Where is Mary Wicks located?

Mary Wicks practices at 938 2nd Ave W, Dickinson, ND 58601. The listed phone number is (701) 456-6000.

What is Mary Wicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Wicks enrolled in Medicare?

Yes. Mary Wicks 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 Mary Wicks accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Mary Wicks 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 Mary Wicks affiliated with any hospitals?

According to CMS data, Mary Wicks is affiliated with Chi St Alexius Health Dickinson.

When was this NPI record last updated?

The NPPES record for Mary Wicks was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.