Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jason W. Wickersham, M.D.

Family Medicine Physician in Parkston, SD · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073594172

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Registry record

Entity type Individual (Type 1)

Name Jason W. Wickersham

Credential M.D.

Sex Male

Practice address 401 W Glynn Dr, Parkston, SD, 57366

Phone (605) 928-3311

Fax (605) 928-7368

Enumeration date Nov 7, 2005

Last updated in NPPES Aug 9, 2012

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 5450 (SD) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
5340070	Medicaid	SD	-
5340340	Medicaid	SD	-
4995341	Other	SD	WELLMARK
5611620	Medicaid	SD	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jason Wickersham's NPI record?

Cross-check NPI 1073594172 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1073594172 active?

Yes, as of the latest NPPES snapshot, NPI 1073594172 is active (record last updated 2012-08-09).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-09.