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DR. ANDREA DENISE WICKERSHAM PSY.D.
NPI 1942705652
Psychologist - Clinical in Frankfort, KY

Active since March 26, 2018PECOS Enrolled
117 OLD SOLDIERS LN, FRANKFORT, KY 40601(502) 875-7272 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2018, Mar 26, 2018 (2 updates tracked since 2018).

About Dr. Andrea Denise Wickersham Psy.d. NPPES

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

DR. ANDREA DENISE WICKERSHAM PSY.D. (NPI 1942705652) is an individual clinical provider in Frankfort, Kentucky, licensed in Kentucky (129186) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942705652
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA DENISE WICKERSHAMCredential: PSY.D.
Location Address117 OLD SOLDIERS LNFrankfort, KY 40601-6159
Mailing Address1016 Park Place DrRichmond, KY 40475-3442 · (859) 582-7433
Phone(502) 875-7272
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateMay 8, 20182 updates tracked since enumeration
✔ NPI 1942705652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KY · 129186
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
117 OLD SOLDIERS LN, Frankfort, KY 40601
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Other Identifiers 1

Medicaid7100519190KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Denise Wickersham Psy.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Wickersham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ppl Therapeutic Services PLLC
31 mi
Professional
8206 HIGHVIEW CT
Crestwood, KY 40014
  • Reassigned Medicare billing, Kentucky enrollment
  • 84 clinicians in this Medicare group
NPI 1104323252 (502) 262-2887

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
539 services49 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
509 services49 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40601 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

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

FRANKFORT LEASING, LLC
Skilled Nursing Facility
117 OLD SOLDIERS LN
FRANKFORT, KY 40601
Franklin County (502) 875-7272
FRANKFORT REHAB AND CARE, LLC
Skilled Nursing Facility
117 OLD SOLDIERS LN
FRANKFORT, KY 40601
Franklin County (502) 875-7272
DR. CURTIS STEPHEN GALE-DYER D.O.
Physical Medicine & Rehabilitation
117 OLD SOLDIERS LN
FRANKFORT, KY 40601
Franklin County (872) 231-3162
FRANKFORT TRAILS, LLC
Skilled Nursing Facility
117 OLD SOLDIERS LN
FRANKFORT, KY 40601
Franklin County (502) 875-7272
IVY MCHAM APRN
Nurse Practitioner (Family)
117 OLD SOLDIERS LN
FRANKFORT, KY 40601
Franklin County (502) 229-0529

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 Andrea Wickersham's NPI number?

The NPI number for Andrea Wickersham is 1942705652. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Andrea Wickersham located?

Andrea Wickersham practices at 117 Old Soldiers Ln, Frankfort, KY 40601. The listed phone number is (502) 875-7272.

What is Andrea Wickersham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrea Wickersham enrolled in Medicare?

Yes. Andrea Wickersham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Wickersham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Wickersham reassigns Medicare benefits to Ppl Therapeutic Services PLLC (Crestwood, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Wickersham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Wickersham was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.