WADE WYCKOFF
NPI 1689243149
Physical Medicine & Rehabilitation in Shreveport, LA
About Wade Wyckoff NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WADE WYCKOFF (NPI 1689243149) is an individual physical medicine & rehabilitation provider in Shreveport, Louisiana, licensed in Louisiana (346157) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Wade Wyckoff is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71101
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 Wade Wyckoff's NPI number?
The NPI number for Wade Wyckoff is 1689243149. It was assigned to this individual provider in the NPPES registry on June 20, 2021.
Where is Wade Wyckoff located?
Wade Wyckoff practices at 1111 Line Ave, Shreveport, LA 71101. The listed phone number is (318) 716-4545.
What is Wade Wyckoff's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Wade Wyckoff enrolled in Medicare?
Yes. Wade Wyckoff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Wade Wyckoff accept?
Health plans from UnitedHealthcare list Wade Wyckoff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Wade Wyckoff affiliated with any hospitals?
According to CMS data, Wade Wyckoff is affiliated with Willis Knighton Medical Center.
When was this NPI record last updated?
The NPPES record for Wade Wyckoff was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.