Amber M Vickers, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA555 Issued in ID

Practice address

7350 W Victory Rd
Boise, ID 83709-4237

Phone

(208) 809-2888

Fax

(208) 809-2889

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.vickers@phmg.eclinicaldirectplus.com

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

• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Garden City, ID
  • NPI 1568413920

  ID

  Medicare reassignment Care Compare group NPD
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Kuna, ID
  • NPI 1780298430
  Care Compare group NPD (past)
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1033534276
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Eagle, ID
  • NPI 1063658300
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Caldwell, ID
  • NPI 1073079463
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1306348602
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1316183601
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1316183668
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1396981643
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1407092794
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Nampa, ID
  • NPI 1457868002
  Care Compare group
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1497991749
  Care Compare group

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1114964616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6522",
            "fax_number": "208-955-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W VICTORY RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094237",
            "telephone_number": "208-809-2888",
            "fax_number": "208-809-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veteran'S Administration Medical Center
• Veterans Adminisatration Medical Center
• Veterans Pharma Incorporated
• Gretchen Vetter, PA
• Vibra Hospital of Boise LLC
• Jenny Vickhammer, BCBA
• Cymbria Arielynn Victor
• Devon Victorine
• Victory Medical Transportation
• Victory Medical Transportation, Inc.

• All providers in Boise, ID
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.