MISS ALYSSA ELIZABETH MOORE WICKNICK DO
NPI 1659908143
Student in an Organized Health Care Education/Training Program in Lone Tree, CO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 24, 2020PECOS Enrolled

10099 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124(360) 325-6905 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Student in an Organized Health Care Educ...
PECOS Enrolled

About ALYSSA WICKNICK

This page provides the complete NPI Profile along with additional information for Alyssa Wicknick, a primary care provider established in Lone Tree, Colorado with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1659908143 assigned on March 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI: 1659908143 Verify this NPI
Provider Name: MISS ALYSSA ELIZABETH MOORE WICKNICK DO
Gender: Female
Entity Type: Individual
Location Address: 10099 RIDGEGATE PKWY STE 200 LONE TREE, CO 80124
Location Phone: (360) 325-6905
Mailing Address: 10099 RIDGEGATE PKWY STE 200 LONE TREE, CO 80124
Mailing Phone: (720) 795-9733
Is Sole Proprietor?: No
Enumeration Date: 03-24-2020
Last Update Date: 03-24-2020
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A primary care provider (PCP) like Alyssa Wicknick sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Student in an Organized Health Care Education/Training Program
Taxonomy Code: 390200000X
Type: Student, Health Care
Taxonomy Description: 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.

Medicare Participation & PECOS Enrollment Status

Alyssa Wicknick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes