MRS. VANESSA MICHELLE WICKHAM NP, CNS
NPI 1720817018
Nurse Practitioner - Adult Health in La Jolla, CA

Active since July 26, 2024PECOS EnrolledAccepts Medicare Assignment
9850 GENESEE AVE STE 560, LA JOLLA, CA 92037(858) 552-1410 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Jul 26, 2024 (2 updates tracked since 2024).

About Mrs. Vanessa Michelle Wickham Np, Cns NPPES

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

MRS. VANESSA MICHELLE WICKHAM NP, CNS (NPI 1720817018) is an individual adult health provider in La Jolla, California, licensed in California (NP95030225) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720817018
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. VANESSA MICHELLE WICKHAMCredential: NP, CNS
Location Address9850 GENESEE AVE STE 560La Jolla, CA 92037-1229
Mailing Address5241 Jamestown RdSan Diego, CA 92117-1244 · (714) 824-7838
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 26, 2024
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1720817018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · NP95030225
9850 GENESEE AVE STE 560, La Jolla, CA 92037

Other Names 1

Former Name (1)Miss Vanessa Michelle Johnston

Secondary Practice Locations 5

Location 1959 LANE AVE STE 100 BLDG BChula Vista, CA 91914-4519 · Phone (619) 880-8828
Location 2326 Santa Fe Dr Ste 105Encinitas, CA 92024-5157 · Phone (760) 452-3340
Location 328708 Baxter Road, Suite 140MURRIETA, CA 92563 · Phone (760) 733-9191
Location 416918 Dove Canyon Rd Ste 103San Diego, CA 92127-3455 · Phone (858) 649-5100
Location 5838 Nordahl Rd Ste 300San Marcos, CA 92069-3599 · Phone (760) 747-8935

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

Mrs. Vanessa Michelle Wickham Np, Cns 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 ID941736516
PECOS Enrollment IDI20241205002347
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 92037 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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Medical Oncology)
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037
Internal Medicine (Hematology & Oncology)
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037
Internal Medicine (Medical Oncology)
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037
Pharmacy (Specialty Pharmacy)
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037
Non-Pharmacy Dispensing Site
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037
Nurse Practitioner
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037

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 Vanessa Wickham's NPI number?

The NPI number for Vanessa Wickham is 1720817018. It was assigned to this individual provider in the NPPES registry on July 26, 2024. The provider is also known as Miss Vanessa Michelle Johnston.

Where is Vanessa Wickham located?

Vanessa Wickham practices at 9850 Genesee Ave Ste 560, La Jolla, CA 92037. The listed phone number is (858) 552-1410.

What is Vanessa Wickham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Vanessa Wickham enrolled in Medicare?

Yes. Vanessa Wickham 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.

When was this NPI record last updated?

The NPPES record for Vanessa Wickham was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.