COURTNEY ALICIA VICISKO MD
NPI 1588501316
Student in an Organized Health Care Education/Training Program in Wilmington, DE

Q: What is Courtney Vicisko's NPI number?

The NPI number for Courtney Vicisko is 1588501316. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Q: What is Courtney Vicisko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Vicisko was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 April 30, 2026PECOS Enrolled

1600 ROCKLAND RD, WILMINGTON, DE 19803(302) 651-4200 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Courtney Alicia Vicisko Md NPPES

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

COURTNEY ALICIA VICISKO MD (NPI 1588501316) is an individual student in an organized health care education/training program in Wilmington, Delaware and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588501316

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCOURTNEY ALICIA VICISKOCredential: MD

Location Address1600 ROCKLAND RDWilmington, DE 19803-3607

Mailing Address148 N Hill RdColonia, NJ 07067-3603

Phone(302) 651-4200

Sole ProprietorNo

Enumeration DateApril 30, 2026

NPPES CertifiedApril 20, 2026

✔ NPI 1588501316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1600 ROCKLAND RD, Wilmington, DE 19803

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Alicia Vicisko Md 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.

JOANNA COSTA MD

Pediatrics (Neonatal-Perinatal Medicine)