KRISTINE K WICKES – Nurse Practitioner, NPI 1316970007

KRISTINE K WICKES is a healthcare provider. based in Gahanna, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. 07121 (OH). The NPI Number for KRISTINE K WICKES is 1316970007

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE K WICKES
NPI
1316970007
Phone
(614) 337-9800
Address
765 N HAMILTON RD
Enumeration Date
8 July 2006
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145667444
Graduation Year
2002 (24 years ago)
PAC ID
5092733154
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20051107000895
Address ID
OH431238133GR6024XGXXX400

Contacts

Secure Messaging
kwickes54682@direct.ohiohealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for KRISTINE K WICKES

  • Hamilton Road, Gahanna, Mifflin Township, Ohio, 43230, United States

    SUITE 120

    GAHANNA, OH 432308703

    Phone: (614) 337-9800

    Fax: (614) 337-9591

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $276.

Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($113).

Total Amount

$276

General + Research + Ownership

Payments

5

Total payment records

General Amount

$276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2005-11-07

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
I20051107000895INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes284201$0
99214Established patient office or other outpatient visit, 30-39 minutes8372$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6759$0
View full utilization report →

Insurance plans in this area (ZIP 43230)

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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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

Does KRISTINE K WICKES have a public NPI I can cite?
Public records show KRISTINE K WICKES under NPI 1316970007.
Is KRISTINE K WICKES's NPI status active today?
Active status means KRISTINE K WICKES's NPI record is not deactivated in the public file.
How should patients interpret KRISTINE K WICKES's specialty?
The extract shows Nurse Practitioner for KRISTINE K WICKES. Clinical services aligned with this taxonomy classification.
Can patients visit KRISTINE K WICKES in Gahanna, Ohio?
For routing, start with Gahanna, Ohio for KRISTINE K WICKES, then verify phone and hours locally.
Can I export KRISTINE K WICKES's record?
You can download the official NPPES record; we summarize key fields for readability.

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