JESSICA WICKLAND M.D.
NPI 1508277708
Pediatrics - Neonatal-Perinatal Medicine in Phoenix, AZ

Q: What is Jessica Wickland's NPI number?

The NPI number for Jessica Wickland is 1508277708. It was assigned to this individual provider in the NPPES registry on May 11, 2014.

Q: What is Jessica Wickland's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wickland was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 11, 2014PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 546-2923 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2020, Jul 1, 2020 (2 updates tracked since 2020).

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About Jessica Wickland M.d. NPPES

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

JESSICA WICKLAND M.D. (NPI 1508277708) is an individual neonatal-perinatal medicine provider in Phoenix, Arizona, licensed in Arizona (60762) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508277708

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameJESSICA WICKLANDCredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (602) 933-8972

Phone(602) 546-2923

Sole ProprietorNo

Enumeration DateMay 11, 2014

Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1508277708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in AZ · 60762

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1919 E THOMAS RD, Phoenix, AZ 85016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Wickland M.d. 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 20

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

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