DEBORAH LYNN WICKENDEN (RN,NP) – Family Nurse Practitioner, NPI 1225218746
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for DEBORAH LYNN WICKENDEN (RN,NP)
East 109th Avenue, Crown Point, Lake County, Indiana, 46307, United States
SUITE 2A
CROWN POINT, IN 463077687
Phone: (219) 226-1529
Type: Mailing
2401 VALLEY DR
VALPARAISO, IN 463832520
Phone:
Type: Mailing
420 W 4TH ST
MISHAWAKA, IN 465441948
Phone: (574) 307-7673
Fax: (574) 307-7692
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $537.
Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.
Last reported payment date: 2024-09-14 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($362).
Total Amount
$537
General + Research + Ownership
Payments
10
Total payment records
General Amount
$537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $362 |
| Inspire Medical Systems, Inc. | $67 |
| ABBVIE INC. | $53 |
| Gilead Sciences, Inc. | $22 |
| Astellas Pharma US Inc | $19 |
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: 2010-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100312000704 | I | Nurse Practitioner | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| Family Practice | DC | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Family Practice | IN | |
| Nurse Practitioner | MI | |
| - | IN | |
| - | IN |
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