DANIELLE ANETTE WICKMAN M.D.
NPI 1962865063
Emergency Medicine in Los Angeles, CA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017(213) 977-2121 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, Sep 15, 2020, Sep 8, 2020 and 2 more (5 updates tracked since 2019).

About Danielle Anette Wickman M.d. NPPES

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

DANIELLE ANETTE WICKMAN M.D. (NPI 1962865063) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A151112) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2016).

NPPES Registry Identity

NPI1962865063
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDANIELLE ANETTE WICKMANCredential: M.D.
Location Address1225 WILSHIRE BLVDLos Angeles, CA 90017-1901
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (213) 977-2121
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateOctober 27, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
NPI 1962865063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A151112
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1225 WILSHIRE BLVD, Los Angeles, CA 90017

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

Danielle Anette Wickman M.d. 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 ID6709141138
PECOS Enrollment IDI20190926002209
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
70 services70 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
41 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Emergency Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Emergency Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Anesthesiology
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Anesthesiology
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Internal Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Emergency Medicine
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Anesthesiology
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017
Pharmacist
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017

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 Danielle Wickman's NPI number?

The NPI number for Danielle Wickman is 1962865063. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Danielle Wickman located?

Danielle Wickman practices at 1225 Wilshire Blvd, Los Angeles, CA 90017. The listed phone number is (213) 977-2121.

What is Danielle Wickman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Danielle Wickman enrolled in Medicare?

Yes. Danielle Wickman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Danielle Wickman was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.