Jesse Wickham, D.O.
NPI 1376602060 · Nephrology Physician · Jbsa Ft Sam Houston, TX
Enrolled with Medicare as Order and Referring Only - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Wickham, D.O. is a Nephrology Physician provider in Jbsa Ft Sam Houston, TX (NPI 1376602060).
Provider details
- NPI number
- 1376602060
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02003331A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 301 Fisher StKeesler Medical Center, 81mdos/Sgomk, NephrologyKeesler Afb, MS 39534-2508Phone: (228) 376-5537
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Frequently asked questions
- What is Jesse Wickham's NPI number?
- Jesse Wickham's National Provider Identifier (NPI) is 1376602060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Wickham's specialty?
- Jesse Wickham is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Jesse Wickham located?
- Jesse Wickham's practice location on file with NPPES is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504.
- What is Jesse Wickham's phone number?
- The practice phone number listed in the NPPES registry for Jesse Wickham is (210) 916-7408.
- Does Jesse Wickham accept Medicare?
- Jesse Wickham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Wickham's NPI active?
- Yes — Jesse Wickham's NPI (1376602060) is active in the NPPES registry as of the last update on 2025-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.