Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295622058 Individual Practitioner Female Practitioner

Susan E Wickum

Licensed Practical Nurse • Webster, NY

Professional Overview & Biography Verified Profile Summary

Susan Wickum is a registered healthcare professional specializing in Licensed Practical Nurse in Webster, NY. Practice services are available at 124 GALANTE CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 Galante Cir

Webster, NY 145804708

Telephone 5853171161

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Webster, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
75 Specialists

Practicing in Webster, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-23
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 274250-01

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 23, 2025

NPI status registered as active in NPPES database

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Updated Practice Location June 23, 2025

Registered at 124 GALANTE CIR, WEBSTER, NY 145804708 (Tel: 5853171161)

📍
Updated Business Mailing Address June 23, 2025

Registered at 124 GALANTE CIR, WEBSTER, NY 145804708 (Tel: 5853171161)

👤
Provider Name / Credentials Updated June 23, 2025

Recorded as SUSAN WICKUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2025

Licensed Practical Nurse (License #274250-01 in NY)

🟢
Initial NPI Registration & Enumeration June 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295622058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2025
Last Update: June 23, 2025
Sole Proprietor: Yes

Mailing Address

124 Galante Cir

Webster, NY 145804708

Phone: 5853171161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.