ELIZABETH A WICKERSHAM M.D.
NPI 1992706048
Family Medicine in Oklahoma City, OK
About Elizabeth A Wickersham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH A WICKERSHAM M.D. (NPI 1992706048) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (20273) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and maintains a secondary practice location in Oklahoma City.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elizabeth A Wickersham 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.
Medicare Billing Reassignments
9Medicare enrollment records show Elizabeth Wickersham reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Oklahoma City, OK 73103
- Reassigned Medicare billing, Oklahoma enrollment
- 64 clinicians in this Medicare group
Oklahoma City, OK 73103
- Reassigned Medicare billing, Oklahoma enrollment
- 89 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 clinicians in this Medicare group
Shawnee, OK 74804
- Reassigned Medicare billing, Oklahoma enrollment
- 31 clinicians in this Medicare group
Altus, OK 73521
- Reassigned Medicare billing, Oklahoma enrollment
- Also billed through NPI 1295735991 (Oklahoma)
- 62 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Oklahoma enrollment
- 238 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson County Memorial Hospital Authority
Acute Care Hospitals · Altus, OKSsm Health St Anthony Hospital - Oklahoma City
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73134
OKLAHOMA CITY, OK 73134
OKLAHOMA CITY, OK 73134
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 Elizabeth Wickersham's NPI number?
The NPI number for Elizabeth Wickersham is 1992706048. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is Elizabeth Wickersham located?
Elizabeth Wickersham practices at 4345 W Memorial Rd Suite 110, Oklahoma City, OK 73134. The listed phone number is (405) 418-7000.
What is Elizabeth Wickersham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elizabeth Wickersham enrolled in Medicare?
Yes. Elizabeth Wickersham 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.
Which organizations bill Medicare for Elizabeth Wickersham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wickersham reassigns Medicare benefits to 9 organizations: Mercy Clinic Oklahoma Communities (Oklahoma City, OK), Integris Ambulatory Care Corporation (Oklahoma City, OK), Metro Healthcare Services LLC (Oklahoma City, OK), Metro Physicians LLC (Oklahoma City, OK), Ou Health Partners, Inc (Oklahoma City, OK) and 4 more organizations, listed in the Medicare section above. Each 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 Elizabeth Wickersham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Wickersham accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Elizabeth Wickersham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Elizabeth Wickersham affiliated with any hospitals?
According to CMS data, Elizabeth Wickersham is affiliated with Jackson County Memorial Hospital Authority and Ssm Health St Anthony Hospital - Oklahoma City.
When was this NPI record last updated?
The NPPES record for Elizabeth Wickersham was last updated on October 25, 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.
# Elizabeth A Wickersham, M.D. · NPI 1992706048
Family Medicine physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since August 10, 2005.
## Identity
- **NPI:** 1992706048 (Entity type: Individual)
- **Enumerated:** August 10, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20273 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4345 W MEMORIAL RD, SUITE 110, Oklahoma City, OK 73134-1702
- **Phone:** (405) 418-7000 · **Fax:** (405) 418-7099
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK); Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK); Metro Healthcare Services LLC (NPI 1194558304, Oklahoma City, OK); Metro Physicians LLC (NPI 1588374797, Oklahoma City, OK); Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1996
## Record status
- **NPPES last updated:** October 25, 2023
- **Other identifiers:** Medicaid 200036870A (OK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1992706048) · Data from the CMS NPPES public registry.