Robert Adam Vickrey, MSN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-124760 Issued in AL

Practice address

1718 Hunters Ridge Dr W
Mobile, AL 36695-9246

Phone

(251) 591-1599

NPI assigned

Jul 15, 2020

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Saad Enterprises, Inc.Group PAC ID 3779493226, 4 clinicians

Saad Healthcare Clinic LLCGroup PAC ID 9436658721, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saad Enterprises, Inc.

  dba Saad Healthcare Clinic

  • Multi-Specialty Clinic/Center
  • Mobile, AL
  • NPI 1568834042
  Medicare reassignment Care Compare group NPD
• Saad Healthcare Clinic LLC

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Mobile, AL
  • NPI 1346048618
  Medicare reassignment Care Compare group NPD
• Saad Enterprises, Inc.

  dba Saad Family Care

  • Home Health Agency
  • Mobile, AL
  • NPI 1265718969
  NPD
• Saad Enterprises, Inc.

  dba Saad Medical Clinic

  • Multi-Specialty Clinic/Center
  • D'Iberville, MS
  • NPI 1982148862
  NPD
• Saad Medical Management, Inc

  dba Saad Home Nursing Services of MS

  • Home Health Agency
  • D'Iberville, MS
  • NPI 1699785659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1083222145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 HUNTERS RIDGE DR W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366959246",
            "telephone_number": "251-591-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 HUNTERS RIDGE DR W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366959246",
            "telephone_number": "251-591-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKREY",
        "first_name": "ROBERT",
        "middle_name": "ADAM",
        "credential": "MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX NUMBER",
            "identifier": "8918",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Juel Vickers
• Stormi W Vickers, AUD
• Walter P Vickers Jr., D.M.D
• Laurie Vickery, CRNP
• Bethany K.V. Vickrey, FNP-C
• Sarah Jo Vickrey, CRNP
• Victory Home Care
• Victory Pediatrics LLC
• Viemed Clinical Services, LLC
• Cynthia Jean Villa, NP

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.