ANDREA WICKERSHAM NP
NPI 1932864774
Nurse Practitioner - Family in Sioux Falls, SD

Q: What is Andrea Wickersham's NPI number?

The NPI number for Andrea Wickersham is 1932864774. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Q: What is Andrea Wickersham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Wickersham was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 06, 2021PECOS EnrolledAccepts Medicare Assignment

1508 W 22ND ST STE 101, SIOUX FALLS, SD 57105(605) 328-3840 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2025, Nov 6, 2021 (2 updates tracked since 2021).

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About Andrea Wickersham Np NPPES

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

ANDREA WICKERSHAM NP (NPI 1932864774) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP002203) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1932864774

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA WICKERSHAMCredential: NP

Location Address1508 W 22ND ST STE 101Sioux Falls, SD 57105-1514

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-3840

Phone(605) 328-3840

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 6, 2021

Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration

NPPES CertifiedMarch 6, 2025

✔ NPI 1932864774 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 SD · CP002203

1508 W 22ND ST STE 101, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 11325 S Cliff AveSioux Falls, SD 57105-1007 · Phone (605) 322-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford 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

Andrea Wickersham Np 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 ID6103348644

PECOS Enrollment IDI20250313002816

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.

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

MRS. TRACY FIEGEN SORENSON CNP

Nurse Practitioner (Family)