DR. DONALD JAY WICKSTRA DDS
NPI 1871544320
Dentist - General Practice in Hamilton, MI

Q: What is Donald Wickstra's NPI number?

The NPI number for Donald Wickstra is 1871544320. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Donald Wickstra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Donald Wickstra was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 12, 2006PECOS Enrolled

3494 LINCOLN RD, HAMILTON, MI 49419(269) 751-4601(269) 751-4522 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Donald Jay Wickstra Dds NPPES

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

DR. DONALD JAY WICKSTRA DDS (NPI 1871544320) is an individual general practice provider in Hamilton, Michigan, licensed in Michigan (12270) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871544320

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DONALD JAY WICKSTRACredential: DDS

Location Address3494 LINCOLN RDHamilton, MI 49419-9512

Mailing Address4023 134th AveHamilton, MI 49419-9564 · (269) 751-4601 · Fax (269) 751-4522

Phone(269) 751-4601

Fax(269) 751-4522

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1871544320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 12270

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3494 LINCOLN RD, Hamilton, MI 49419

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Other Identifiers 1

Medicaid0004050379MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Donald Jay Wickstra Dds 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 49419 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 3

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

DR. LANDON JAMES BROWER DDS

Dentist (General Practice)

3494 LINCOLN RD
HAMILTON, MI 49419

Allegan County (269) 751-4601

DR. BENJAMIN H WICKSTRA DDS

Dentist (General Practice)

3494 LINCOLN RD, HAMILTON MEDICAL CENTER
HAMILTON, MI 49419

Allegan County (269) 751-4601

HAMILTON DENTISTRY PLLC

Dentist (General Practice)

3494 LINCOLN RD
HAMILTON, MI 49419

Allegan County (269) 751-4601

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 Donald Wickstra's NPI number?

The NPI number for Donald Wickstra is 1871544320. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Donald Wickstra located?

Donald Wickstra practices at 3494 Lincoln Rd, Hamilton, MI 49419. The listed phone number is (269) 751-4601.

What is Donald Wickstra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donald Wickstra enrolled in Medicare?

Yes. Donald Wickstra is registered in the Medicare PECOS enrollment system.

What insurance does Donald Wickstra accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Donald Wickstra 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 Donald Wickstra was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.