IndividualActive
Bart Wickersham, RN
NPI 1700280005 · Registered Nurse · Gallup, NM
Bart Wickersham, RN is a Registered Nurse provider in Gallup, NM (NPI 1700280005).
Provider details
- NPI number
- 1700280005
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 13-65413-112 (KS)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1790
Street-level locationGet directions
Mailing address
516 East Nizhoni Bvld.
Gallup, NM 87301
Registry dates
- Enumerated
- 2014-10-15
- Last updated
- 2014-10-15
Frequently asked questions
- What is Bart Wickersham's NPI number?
- Bart Wickersham's National Provider Identifier (NPI) is 1700280005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bart Wickersham's specialty?
- Bart Wickersham is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Bart Wickersham located?
- Bart Wickersham's practice location on file with NPPES is 516 E Nizhoni Blvd, Gallup, NM 87301-5748.
- What is Bart Wickersham's phone number?
- The practice phone number listed in the NPPES registry for Bart Wickersham is (505) 722-1790.
- Is Bart Wickersham's NPI active?
- Yes — Bart Wickersham's NPI (1700280005) is active in the NPPES registry as of the last update on 2014-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.