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DR. JENNIFER SUE KICKER MD
NPI 1780776773
Pediatrics - Pediatric Critical Care Medicine in Bethesda, MD

Active since September 28, 2006PECOS Enrolled
8901 WISCONSIN AVENUE, WALTER REED NATIONAL MILITARY MEDICAL CENTER, BETHESDA, MD 20889(301) 400-2010 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Sue Kicker Md NPPES

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

DR. JENNIFER SUE KICKER MD (NPI 1780776773) is an individual pediatric critical care medicine provider in Bethesda, Maryland, licensed in Virginia (0101240654) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780776773
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JENNIFER SUE KICKERCredential: MD
Location Address8901 WISCONSIN AVENUE, WALTER REED NATIONAL MILITARY MEDICAL CENTERBethesda, MD 20889-0001
Mailing Address8901 Wisconsin AveBethesda, MD 20889-0006
Phone(301) 400-2010
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1780776773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in VA · 0101240654✔ Licensed in WA · MD60323638
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 0101240654 (VA)
8901 WISCONSIN AVENUE, Bethesda, MD 20889
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Sue Kicker Md 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.

Other Providers at the Same Location NPPES 20

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

TONYA M CONLEY MD
General Practice
8901 WISCONSIN AVENUE, WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDA, MD 20889
Montgomery County (301) 295-4600
ERIC SILVESTRE SUAREZ MD
Pathology (Anatomic Pathology)
8901 WISCONSIN AVENUE, PATHOLOGY DEPT., BUILDING 9
BETHESDA, MD 20889
Montgomery County (301) 319-8216
DR. BRADLEY A. SERWER M.D.
Internal Medicine (Interventional Cardiology)
8901 WISCONSIN AVENUE
BETHESDA, MD 20889
Montgomery County (301) 295-0390
DR. STEVEN HENRY MCILWAIN DPM
Podiatrist (Foot & Ankle Surgery)
8901 WISCONSIN AVENUE
BETHESDA, MD 20889
Montgomery County (301) 295-4295
DR. ROBERT MICHAEL TAFT
Dentist (Prosthodontics)
8901 WISCONSIN AVENUE, BLDG 1, RM 16125
BETHESDA, MD 20889
Montgomery County (301) 319-4509
DR. BRETT JAMES THEELER M.D.
Psychiatry & Neurology (Neurology)
8901 WISCONSIN AVENUE
BETHESDA, MD 20889
Montgomery County (301) 295-4771
DR. DALLIN ROWLEY M.D.
Student in an Organized Health Care Education/Training Program
8901 WISCONSIN AVENUE, WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDA, MD 20889
Montgomery County (301) 295-4503
DR. ALICE JEAN SITHOLE PHARM.D.
Pharmacist
8901 WISCONSIN AVENUE, OUTPATIENT PHARMACY
BETHESDA, MD 20889
Montgomery County (301) 295-2121

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 Jennifer Kicker's NPI number?

The NPI number for Jennifer Kicker is 1780776773. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jennifer Kicker located?

Jennifer Kicker practices at 8901 Wisconsin Avenue Walter Reed National Military Medical Center, Bethesda, MD 20889. The listed phone number is (301) 400-2010.

What is Jennifer Kicker's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jennifer Kicker enrolled in Medicare?

Yes. Jennifer Kicker is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Kicker accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jennifer Kicker 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 Jennifer Kicker was last updated on April 17, 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.