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DR. MARY WYCKOFF PHD, ACNP, BC, NNP
NPI 1952457467
Nurse Practitioner - Acute Care in Sacramento, CA

Active since January 26, 2007PECOS Enrolled
2315 STOCKTON AVE, SACRAMENTO, CA 95817(916) 703-3395 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Wyckoff Phd, Acnp, Bc, Nnp NPPES

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

DR. MARY WYCKOFF PHD, ACNP, BC, NNP (NPI 1952457467) is an individual acute care provider in Sacramento, California, licensed in California (21525) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952457467
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDR. MARY WYCKOFFCredential: PHD, ACNP, BC, NNP
Location Address2315 STOCKTON AVESacramento, CA 95817
Mailing Address5373 Monalee AveSacramento, CA 95819 · (305) 904-3661
Phone(916) 703-3395
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateOctober 29, 2012
✔ NPI 1952457467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in CA · 21525✔ Licensed in FL · 1703712
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 21525 (CA)
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 21525 (CA)
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License 3812 (CA)
2315 STOCKTON AVE, Sacramento, CA 95817
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Other Names 1

Other Name (5)Dr. Mary Wyckoff Phd, Fnp, Bc, Ccns

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. Mary Wyckoff Phd, Acnp, Bc, Nnp 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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Mary Wyckoff's NPI number?

The NPI number for Mary Wyckoff is 1952457467. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Dr. Mary Wyckoff Phd, Fnp, Bc, Ccns.

Where is Mary Wyckoff located?

Mary Wyckoff practices at 2315 Stockton Ave, Sacramento, CA 95817. The listed phone number is (916) 703-3395.

What is Mary Wyckoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Wyckoff enrolled in Medicare?

Yes. Mary Wyckoff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Wyckoff was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.