MRS. KAREN KIM WICKER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164612693

MRS. KAREN KIM WICKER (CRNA) is a healthcare provider. based in Fort knox, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704258641 (MI). The NPI Number for MRS. KAREN KIM WICKER (CRNA) is 1164612693

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KAREN KIM WICKER (CRNA)
NPI
1164612693
Phone
(575) 915-8449
Address
1127 B 13TH CAVALRY ROAD
Enumeration Date
31 July 2007
Last Update Date
12 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592526612
Graduation Year
2007 (19 years ago)
PAC ID
1153416078
Group Practice PAC ID
5092627521
Professional Enrollment ID
I20110930000465
Address ID
KY405083008LE310XXLIME300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,370 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

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Provider Addresses for MRS. KAREN KIM WICKER (CRNA)

  • 1127 B 13TH CAVALRY ROAD

    FORT KNOX, KY 401212298

    Phone: (575) 915-8449

    Type: Mailing

  • Saint Joseph East, 150, North Eagle Creek Drive, Lexington, Fayette County, Kentucky, 40509, United States

    LEXINGTON, KY 405091805

    Phone: (859) 967-5715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2024-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20110930000465ICertified Registered Nurse Anesthetist (Crna)KYTBD
I20220629000708ICertified Registered Nurse Anesthetist (Crna)NMTBD
I20240314000992ICertified Registered Nurse Anesthetist (Crna)GUTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40121)

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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: 5092627521View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Does MRS. KAREN KIM WICKER (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. KAREN KIM WICKER (CRNA) uses 1164612693.
Can I rely on MRS. KAREN KIM WICKER (CRNA) being an active provider?
As of the registry snapshot, MRS. KAREN KIM WICKER (CRNA) is marked active.
What healthcare role does MRS. KAREN KIM WICKER (CRNA) hold?
Scheduling teams often label MRS. KAREN KIM WICKER (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MRS. KAREN KIM WICKER (CRNA) list a practice location?
Patients near Fort Knox, Kentucky may find MRS. KAREN KIM WICKER (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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