XAQUITA WICKS FNP-C, MSN, BSN, RN
NPI 1790214989
Nurse Practitioner - Family in Dallas, TX

Active since June 09, 2017PECOS Enrolled
2922B MLK JR BLVD, DALLAS, TX 75215(214) 708-2739 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2023, Jul 21, 2022, Aug 14, 2020 and 1 more (4 updates tracked since 2017).

About Xaquita Wicks Fnp-c, Msn, Bsn, Rn NPPES

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

XAQUITA WICKS FNP-C, MSN, BSN, RN (NPI 1790214989) is an individual family provider in Dallas, Texas, licensed in Texas (1106498) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790214989
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameXAQUITA WICKSCredential: FNP-C, MSN, BSN, RN
Location Address2922B MLK JR BLVDDallas, TX 75215-2321
Mailing Address1759 Broad Park Cir S Ste 113Mansfield, TX 76063-7836 · (817) 473-1312
Sole ProprietorYes
Enumeration DateJune 9, 2017
Last NPPES UpdateJanuary 12, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1790214989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1106498
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 847794 (TX)
2922B MLK JR BLVD, Dallas, TX 75215

Other Identifiers 1

Other847794TX · Nurse License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 (PECOS)

Xaquita Wicks Fnp-c, Msn, Bsn, Rn 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 75215 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Nurse Practitioner (Family)
2922B MLK JR BLVD
DALLAS, TX 75215

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 Xaquita Wicks's NPI number?

The NPI number for Xaquita Wicks is 1790214989. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Xaquita Wicks located?

Xaquita Wicks practices at 2922B Mlk Jr Blvd, Dallas, TX 75215. The listed phone number is (214) 708-2739.

What is Xaquita Wicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Xaquita Wicks enrolled in Medicare?

Yes. Xaquita Wicks is registered in the Medicare PECOS enrollment system.

What insurance does Xaquita Wicks accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Xaquita Wicks 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 Xaquita Wicks was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.