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FREDERICK WYCOCO NP
NPI 1609331560
Nurse Practitioner - Family in San Diego, CA

Active since February 05, 2019PECOS Enrolled
446 ALTA RD # 5300, SAN DIEGO, CA 92158(619) 661-2789(505) 499-4988 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, May 13, 2025, Oct 7, 2024 and 3 more (6 updates tracked since 2019).

About Frederick Wycoco Np NPPES

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

FREDERICK WYCOCO NP (NPI 1609331560) is an individual family provider in San Diego, California, licensed in California (95010473) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609331560
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameFREDERICK WYCOCOCredential: NP
Location Address446 ALTA RD # 5300San Diego, CA 92158-0001
Mailing Address446 Alta Rd # 5300San Diego, CA 92158-0001 · (619) 661-2789
Phone(619) 661-2789
Fax(505) 499-4988
Sole ProprietorNo
Enumeration DateFebruary 5, 2019
Last NPPES UpdateDecember 30, 20256 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1609331560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95010473
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95010473 (CA), 79465 (NM)
446 ALTA RD # 5300, San Diego, CA 92158
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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)

Frederick Wycoco Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92158 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Frederick Wycoco's NPI number?

The NPI number for Frederick Wycoco is 1609331560. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Frederick Wycoco located?

Frederick Wycoco practices at 446 Alta Rd # 5300, San Diego, CA 92158. The listed phone number is (619) 661-2789.

What is Frederick Wycoco's specialty?

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

Is Frederick Wycoco enrolled in Medicare?

Yes. Frederick Wycoco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederick Wycoco was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.