Malissa Wickersham, FNP
NPI 1992005623 · Family Nurse Practitioner · Groton, CT
Malissa Wickersham, FNP is a Family Nurse Practitioner provider in Groton, CT (NPI 1992005623).
Provider details
- NPI number
- 1992005623
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- CP000606 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-10-28
- Last updated
- 2019-11-18
Frequently asked questions
- What is Malissa Wickersham's NPI number?
- Malissa Wickersham's National Provider Identifier (NPI) is 1992005623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Malissa Wickersham's specialty?
- Malissa Wickersham is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Malissa Wickersham located?
- Malissa Wickersham's practice location on file with NPPES is 1 Wahoo Ave, Groton, CT 06349-2324.
- What is Malissa Wickersham's phone number?
- The practice phone number listed in the NPPES registry for Malissa Wickersham is (860) 694-7521.
- Is Malissa Wickersham's NPI active?
- Yes — Malissa Wickersham's NPI (1992005623) is active in the NPPES registry as of the last update on 2019-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.