KELSEY VICTORIA WICKHAM FNP
NPI 1831858745
Nurse Practitioner - Family in Bend, OR

Active since December 08, 2021
1375 NW KINGSTON AVE, BEND, OR 97703(541) 274-0240 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey Victoria Wickham Fnp NPPES

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

KELSEY VICTORIA WICKHAM FNP (NPI 1831858745) is an individual family provider in Bend, Oregon, licensed in Oregon (202112796NP-PP) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1831858745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY VICTORIA WICKHAMCredential: FNP
Location Address1375 NW KINGSTON AVEBend, OR 97703-2242
Mailing Address1385 Nw Fort Clatsop StBend, OR 97703-5524 · (541) 274-0240
Sole ProprietorNo
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
NPI 1831858745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 202112796NP-PP
1375 NW KINGSTON AVE, Bend, OR 97703

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
1375 NW KINGSTON AVE
BEND, OR 97703
Social Worker (Clinical)
1375 NW KINGSTON AVE
BEND, OR 97703
Counselor (Mental Health)
1375 NW KINGSTON AVE
BEND, OR 97703

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 Kelsey Wickham's NPI number?

The NPI number for Kelsey Wickham is 1831858745. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Kelsey Wickham located?

Kelsey Wickham practices at 1375 NW Kingston Ave, Bend, OR 97703. The listed phone number is (541) 274-0240.

What is Kelsey Wickham's specialty?

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

What insurance does Kelsey Wickham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelsey Wickham 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 Kelsey Wickham was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.