MICHELLE WICKIZER PSY.D
NPI 1689339905
Psychologist - Clinical in Colorado Springs, CO

Active since November 02, 2021PECOS EnrolledAccepts Medicare Assignment
1229 LAKE PLAZA DR STE A, COLORADO SPRINGS, CO 80906(719) 313-2578(719) 735-4952 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2024, Nov 2, 2021 (2 updates tracked since 2021).

About Michelle Wickizer Psy.d NPPES

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

MICHELLE WICKIZER PSY.D (NPI 1689339905) is an individual clinical provider in Colorado Springs, Colorado, licensed in Colorado (PSY.0005676) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689339905
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMICHELLE WICKIZERCredential: PSY.D
Location Address1229 LAKE PLAZA DR STE AColorado Springs, CO 80906-7401
Mailing AddressPo Box 38553Colorado Springs, CO 80937-8553 · (719) 313-2578 · Fax (719) 434-9811
Fax(719) 735-4952
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 2, 2021
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
NPI 1689339905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CO · PSY.0005676
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1229 LAKE PLAZA DR STE A, Colorado Springs, CO 80906

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

Michelle Wickizer Psy.d 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.

PECOS PAC ID4082003207
PECOS Enrollment IDI20211109003432
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 80906 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1229 LAKE PLAZA DR STE A
COLORADO SPRINGS, CO 80906

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 Michelle Wickizer's NPI number?

The NPI number for Michelle Wickizer is 1689339905. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Michelle Wickizer located?

Michelle Wickizer practices at 1229 Lake Plaza Dr Ste A, Colorado Springs, CO 80906. The listed phone number is (719) 313-2578.

What is Michelle Wickizer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michelle Wickizer enrolled in Medicare?

Yes. Michelle Wickizer 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 Michelle Wickizer accept?

Health plans from Providence Health Plan list Michelle Wickizer 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.

When was this NPI record last updated?

The NPPES record for Michelle Wickizer was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.