BETTY R WICKSTROM N.P.
NPI 1669405197
Nurse Practitioner - Adult Health in Atlanta, GA
NPI Status: Active since July 08, 2006
Contact Information
960 JOHNSON FERRY RD NE
SUITE 336
ATLANTA, GA
ZIP 30342
Phone: (404) 252-7400
Fax: (404) 252-1772
- Individual
- Female
- Nurse Practitioner
- Adult Health
- PECOS Enrolled
About BETTY WICKSTROM
This page provides the complete NPI Profile along with additional information for Betty Wickstrom, a provider established in Atlanta, Georgia with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1669405197 assigned on July 2006. The practitioner's primary taxonomy code is 363LA2200X with license number RN045532 (GA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1669405197
- Provider Name
- BETTY R WICKSTROM N.P.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 960 JOHNSON FERRY RD NE SUITE 336 ATLANTA, GA 30342
- Location Phone
- (404) 252-7400
- Location Fax
- (404) 252-1772
- Mailing Address
- 960 JOHNSON FERRY RD NE SUITE 336 ATLANTA, GA 30342
- Mailing Phone
- (404) 252-7400
- Mailing Fax
- (404) 252-1772
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-08-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A nurse practitioner (NP) like Betty Wickstrom is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN045532
- License State
- GA
Medicare Participation & PECOS Enrollment Status
Betty Wickstrom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30342 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.06
- Minimum New Patient Price $56.84
- Maximum New Patient Price $172.43
- Average New Patient Copayment $22.01
- Minimum New Patient Copayment $14.21
- Maximum New Patient Copayment $43.1
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.2
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $140.4
- Average Established Patient Copayment $25.05
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $35.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 4 | 0 | 5 | 1 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 8 | 0 | 10 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 8 + 0 + 1 + 0 + 1 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1669405197 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033112198 | MR. ALAN I SEGAL M.S. Individual | Audiologist | 960 JOHNSON FERRY RD NE STE 200 ATLANTA, GA 30342 (404) 943-0900 |
| 1841268364 | DR. AGNES HAN M.D. Individual | Internal Medicine (Gastroenterology) | 960 JOHNSON FERRY RD NE SUITE 515 ATLANTA, GA 30342 (404) 252-7703 |
| 1700841509 | ELIZABETH M LEDUC MD Individual | Pediatrics | 960 JOHNSON FERRY RD NE SUITE 315 ATLANTA, GA 30342 (404) 389-1600 |
| 1770549354 | DR. RAYMOND VINCENT CAPUTO M.D. Individual | Specialist | 960 JOHNSON FERRY RD NE SUITE 226 ATLANTA, GA 30342 (404) 255-0787 |
| 1073540944 | MRS. SONZA CURTIS PA Individual | Physician Assistant (Medical) | 960 JOHNSON FERRY RD NE SUITE 200 ATLANTA, GA 30342 (404) 943-0900 |
| 1770512675 | DR. JENNIFER BETH AQUA MD Individual | Obstetrics & Gynecology | 960 JOHNSON FERRY RD NE STE 400 ATLANTA, GA 30342 (404) 257-0170 |
| 1801821004 | HOWARD J COHEN MD Individual | Internal Medicine (Infectious Disease) | 960 JOHNSON FERRY RD NE STE 500 ATLANTA, GA 30342 (404) 851-0081 |
| 1255366456 | JOHN M MALONEY MD Individual | Internal Medicine (Infectious Disease) | 960 JOHNSON FERRY RD NE STE 500 ATLANTA, GA 30342 (404) 851-0081 |
| 1174533947 | KATHRYN METTLER M.D. Individual | Internal Medicine (Gastroenterology) | 960 JOHNSON FERRY RD NE SUITE 505 ATLANTA, GA 30342 (404) 843-3104 |
| 1669542023 | HUGH L DURHAM M.D. Individual | Internal Medicine (Infectious Disease) | 960 JOHNSON FERRY RD NE SUITE 500 ATLANTA, GA 30342 (404) 851-0081 |
| 1477625051 | ADVANCED SLEEP LABORATORY-DUNWOODY Organization | Clinic/Center (Sleep Disorder Diagnostic) | 960 JOHNSON FERRY RD NE SUITE 200 ATLANTA, GA 30342 (404) 705-0855 |
| 1871665463 | ADVANCED SLEEP LABORATORY - ALPHARETTA LLC Organization | Clinic/Center (Sleep Disorder Diagnostic) | 960 JOHNSON FERRY RD NE SUITE 200 ATLANTA, GA 30342 (404) 705-0855 |
| 1407905763 | ATLANTA UROLOGICAL CLINC Organization | Specialist | 960 JOHNSON FERRY RD NE SUITE 420 ATLANTA, GA 30342 (404) 252-2420 |
| 1073666087 | DR. JACK BENSON POTTER MD Individual | Internal Medicine (Allergy & Immunology) | 960 JOHNSON FERRY RD NE SUITE 410 ATLANTA, GA 30342 (404) 256-3788 |
| 1528269677 | DR. GAMWELL AARON ROGERS M.D. Individual | Otolaryngology | 960 JOHNSON FERRY RD NE SUITE 200 ATLANTA, GA 30342 (404) 943-0900 |
| 1881898344 | PAUL D. MCCLUSKEY MD Individual | Plastic Surgery | 960 JOHNSON FERRY RD NE SUITE 245 ATLANTA, GA 30342 (404) 499-0111 |
| 1942408984 | MRS. CINDY L HIRSCH MA Individual | Audiologist | 960 JOHNSON FERRY RD NE SUITE 200 ATLANTA, GA 30342 (404) 943-0900 |
| 1275722811 | RAYMOND V. CAPUTO, M.D.,P.C. Organization | Dermatology | 960 JOHNSON FERRY RD NE SUITE 226 ATLANTA, GA 30342 (404) 255-0787 |
| 1255597282 | PLASTIC SURGERY INSTITUTE OF ATLANTA, P.C. Organization | Plastic Surgery | 960 JOHNSON FERRY RD NE SUITE 245 ATLANTA, GA 30342 (404) 499-0111 |
| 1376779322 | VILLAGE PODIATRY GROUP, P.C. Organization | Podiatrist | 960 JOHNSON FERRY RD NE SUITE 310 ATLANTA, GA 30342 (404) 389-0603 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669405197, enumerated in the NPI registry as an "individual" on July 08, 2006
The provider is located at 960 Johnson Ferry Rd Ne Suite 336 Atlanta, Ga 30342 and the phone number is (404) 252-7400
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.06 with an average copayment of $22.01 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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