1. Home
  2. Directory
  3. Rhode Island
  4. East Greenwich
  5. Physician Assistant
  6. NPI Profile

SHANA ROSE WICKLUND
NPI 1437770625
Physician Assistant - Surgical in East Greenwich, RI

Active since April 29, 2020PECOS Enrolled
1672 S COUNTY TRL STE 302, EAST GREENWICH, RI 02818(401) 336-3770 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Nov 1, 2023 (2 updates tracked since 2023).

About Shana Rose Wicklund NPPES

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

SHANA ROSE WICKLUND (NPI 1437770625) is an individual surgical provider in East Greenwich, Rhode Island and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437770625
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHANA ROSE WICKLUND
Location Address1672 S COUNTY TRL STE 302East Greenwich, RI 02818-5099
Mailing Address25 Brookwood DrNorth Scituate, RI 02857-1576 · (401) 787-4684
Phone(401) 336-3770
Sole ProprietorNo
Enumeration DateApril 29, 2020
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1437770625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
1672 S COUNTY TRL STE 302, East Greenwich, RI 02818
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)

Shana Rose Wicklund 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.

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.

CARLA VACCARO MD LLC
Family Medicine
1672 S COUNTY TRL STE 302
EAST GREENWICH, RI 02818
Kent County (401) 471-6510
ALEXA R RAYMOND MD LLC
Family Medicine
1672 S COUNTY TRL STE 302
EAST GREENWICH, RI 02818
Kent County (401) 471-6510

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 Shana Wicklund's NPI number?

The NPI number for Shana Wicklund is 1437770625. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Shana Wicklund located?

Shana Wicklund practices at 1672 S County Trl Ste 302, East Greenwich, RI 02818. The listed phone number is (401) 336-3770.

What is Shana Wicklund's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shana Wicklund enrolled in Medicare?

Yes. Shana Wicklund is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shana Wicklund was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.