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DR. KENNETH D. WICKER M.D.
NPI 1992732994
Pediatrics - Pediatric Emergency Medicine in Knoxville, TN

Active since June 26, 2006PECOS Enrolled
2018 W CLINCH AVE, KNOXVILLE, TN 37916(865) 541-8000(865) 539-8008 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kenneth D. Wicker M.d. NPPES

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

DR. KENNETH D. WICKER M.D. (NPI 1992732994) is an individual pediatric emergency medicine provider in Knoxville, Tennessee, licensed in Tennessee (MD18702) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992732994
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. KENNETH D. WICKERCredential: M.D.
Location Address2018 W CLINCH AVEKnoxville, TN 37916-2301
Mailing AddressPo Box 634706Cincinnati, OH 45263-0001
Phone(865) 541-8000
Fax(865) 539-8008
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateNovember 21, 2007
✔ NPI 1992732994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TN · MD18702
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD18702 (TN)
Also ListedPediatricsTaxonomy 208000000X · License MD18702 (TN)
2018 W CLINCH AVE, Knoxville, TN 37916
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Other Identifiers 10

Medicare PIN3082434TN
Other3055615TN · Blue Cross
Medicaid3082433TN
Other3112589TN · Blue Cross
Other4152062TN · Blue Cross
Medicaid3082434TN
Medicaid64928021KY
Medicare UPINF81004TN
Medicare PIN3082433TN
Medicaid3082430TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth D. Wicker M.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 Kenneth Wicker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Emergency Physicians LLC
185 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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

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.

DR. HEATHER DAWN PHILLIPS DO
Anesthesiology (Pediatric Anesthesiology)
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 541-8485
DR. LISE CHRISTENSEN M.D.
Pediatrics
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 541-8000
DR. JEANANN PARDUE M.D.
Pediatrics (Pediatric Emergency Medicine)
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 985-7012
DR. ROBERT LEMBERSKY M.D.
Anesthesiology
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 541-8485
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Specialist
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 541-8181
DR. JOHN R. CARDER M.D.
Pediatrics (Pediatric Emergency Medicine)
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 541-8000
MRS. JENNIFER ARMSTRONG BELITZ PA
Physician Assistant
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 541-8000
DR. BILLY PAUL JONES M.D.
Pediatrics
2018 W CLINCH AVE
KNOXVILLE, TN 37916
Knox County (865) 541-8000

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 Kenneth Wicker's NPI number?

The NPI number for Kenneth Wicker is 1992732994. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Kenneth Wicker located?

Kenneth Wicker practices at 2018 W Clinch Ave, Knoxville, TN 37916. The listed phone number is (865) 541-8000.

What is Kenneth Wicker's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kenneth Wicker enrolled in Medicare?

Yes. Kenneth Wicker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Wicker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Wicker reassigns Medicare benefits to Southeastern Emergency Physicians LLC (Maysville, 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 Kenneth Wicker'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 Kenneth Wicker was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.