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AMANDA PATTERSON WICKSON PA-C
NPI 1710177464
Physician Assistant in Keller, TX

Active since July 30, 2007PECOS Enrolled
808 KELLER PKWY, KELLER, TX 76248(817) 431-2573(817) 379-6881 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Patterson Wickson Pa-c NPPES

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

AMANDA PATTERSON WICKSON PA-C (NPI 1710177464) is an individual physician assistant in Keller, Texas, licensed in Texas (PA02797) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710177464
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA PATTERSON WICKSONCredential: PA-C
Location Address808 KELLER PKWYKeller, TX 76248-2405
Mailing Address808 Keller PkwyKeller, TX 76248-2405 · (817) 431-2573 · Fax (817) 379-6881
Phone(817) 431-2573
Fax(817) 379-6881
Sole ProprietorNo
Enumeration DateJuly 30, 2007
Last NPPES UpdateOctober 15, 2010
✔ NPI 1710177464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA02797
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
808 KELLER PKWY, Keller, TX 76248
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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)

Amanda Patterson Wickson Pa-c 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 76248 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 10

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

SHANNON ALYSHA MCCASKEY FNP-BC
Nurse Practitioner (Family)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
MALLORY LAMBERT CARLETTI PA-C
Physician Assistant
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
DEVON PRICE MSN, APRN, FNP-C
Nurse Practitioner (Family)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
MR. JEFFREY LEE MARTZ PA-C
Physician Assistant (Medical)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
KELLER FAMILY MEDICAL CENTER, PLLC
Family Medicine
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
LUCILLE KATHRYN MCLEAN APRN
Nurse Practitioner (Family)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
AMBER HATLEY DO
Family Medicine
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
BILL BURKE, DO A PROFESSIONAL ASSOCIATION
Family Medicine
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573

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 Amanda Wickson's NPI number?

The NPI number for Amanda Wickson is 1710177464. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Amanda Wickson located?

Amanda Wickson practices at 808 Keller Pkwy, Keller, TX 76248. The listed phone number is (817) 431-2573.

What is Amanda Wickson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Wickson enrolled in Medicare?

Yes. Amanda Wickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Wickson was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.