JENNIFER MARIE WICKENS MD
NPI 1891437216
Family Medicine in Colville, WA

Q: What is Jennifer Wickens's NPI number?

The NPI number for Jennifer Wickens is 1891437216. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Jennifer Wickens's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wickens was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment

1200 E COLUMBIA AVE, COLVILLE, WA 99114(509) 684-3701(509) 684-5817 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Apr 7, 2022 (2 updates tracked since 2022).

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About Jennifer Marie Wickens Md NPPES

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

JENNIFER MARIE WICKENS MD (NPI 1891437216) is an individual family medicine provider in Colville, Washington, licensed in Washington (ML61481130) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Providence Mount Carmel Hospital, and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1891437216

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER MARIE WICKENSCredential: MD

Location Address1200 E COLUMBIA AVEColville, WA 99114-3354

Mailing AddressPob 31001-4114Pasadena, CA 91110-4114 · (509) 747-2455 · Fax (509) 944-9644

Phone(509) 684-3701

Fax(509) 684-5817

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 2022

Enumeration DateApril 7, 2022

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1891437216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · ML61481130

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1200 E COLUMBIA AVE, Colville, WA 99114

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Secondary Practice Location 1

Location 1101 W 8th AveSpokane, WA 99204-2307 · Phone (509) 474-3131

Accepted Insurance

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

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

Jennifer Marie Wickens Md 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 ID345682738

PECOS Enrollment IDI20250826005296

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501326

Location982 East ColumbiaColville, WA 99114 · Stevens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99114 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

MR. RICHARD C. LEE RPH

Pharmacist