JESSICA WYCKOFF (DNP, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1205451366

JESSICA WYCKOFF (DNP, APRN, FNP-BC) is a healthcare provider. based in North port, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, FNP-BC. They hold a License No. APRN11007428 (FL). The NPI Number for JESSICA WYCKOFF (DNP, APRN, FNP-BC) is 1205451366

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA WYCKOFF (DNP, APRN, FNP-BC)
NPI
1205451366
Phone
(941) 282-3376
Address
12497 TAMIAMI TRL S STE 1
Enumeration Date
14 June 2020
Last Update Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9412823376
Graduation Year
2020 (6 years ago)
PAC ID
5294159984
Group Practice PAC ID
0244699387
Professional Enrollment ID
I20200728002992
Address ID
FL342871415NO12497SXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JESSICA WYCKOFF (DNP, APRN, FNP-BC)

  • 12497 TAMIAMI TRL S STE 1

    NORTH PORT, FL 342871415

    Phone: (941) 282-3376

    Fax: (941) 282-3378

    Type: Mailing

  • 1415 E VENICE AVE

    VENICE, FL 342923064

    Phone: (941) 488-5300

    Fax: (941) 412-1003

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $2,044.

Total Amount is formed as General ($2,044) + Research ($0) + Ownership ($0) = $2,044.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($334).

Total Amount

$2,044

General + Research + Ownership

Payments

66

Total payment records

General Amount

$2,044

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200728002992INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths902186$0
99213Established patient office or other outpatient visit, 20-29 minutes661386$0
17000Destruction of precancer skin growth, 1 growth370278$0
17110Destruction of skin growth, 1-14 growths281213$0
11102Biopsy of related skin growth, first growth273223$0
View full utilization report →

Insurance plans in this area (ZIP 34287)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244699387View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerAL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

Can I verify JESSICA WYCKOFF (DNP, APRN, FNP-BC) with an NPI only?
You can start verification with NPI 1205451366 for JESSICA WYCKOFF (DNP, APRN, FNP-BC), then check state licensing separately.
Can I rely on JESSICA WYCKOFF (DNP, APRN, FNP-BC) being an active provider?
As of the registry snapshot, JESSICA WYCKOFF (DNP, APRN, FNP-BC) is marked active.
What taxonomy line describes JESSICA WYCKOFF (DNP, APRN, FNP-BC)?
For research purposes, treat JESSICA WYCKOFF (DNP, APRN, FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JESSICA WYCKOFF (DNP, APRN, FNP-BC)?
JESSICA WYCKOFF (DNP, APRN, FNP-BC)'s geographic hint is North Port, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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