Jennifer Vickers, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

P8626 Issued in TX

Practice address

313 E 12TH St
Ste 100
Austin, TX 78701-1954

Phone

(512) 324-9650

NPI assigned

May 19, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Pathology

Education

University of Texas Medical Branch at Galveston, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanova Dermatology PLLCGroup PAC ID 8527235340, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Sanova Dermatology PLLC

  • Dermatology Physician
  • Austin, TX
  • NPI 1689957169
  Medicare reassignment Care Compare group NPD
• Houston Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Huntsville, TX
  • NPI 1952385676
  Medicare reassignment NPD
• J S Wilkenfeld MD & Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1871630509
  Medicare reassignment NPD
• Sagis, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1548549066
  Medicare reassignment NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  Medicare reassignment NPD
• Radiant Dermatology and Aesthetics PLLC

  • Dermatology Physician
  • Kingwood, TX
  • NPI 1760843494
  Medicare reassignment
• Alliance Pathology Consultants PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingwood, TX
  • NPI 1699707943
  NPD
• Clear Lake Pathology Partners LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1881757458
  NPD
• Sagis PLLC

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1659031433
  NPD
• Seton Family of Doctors

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• Wilkenfeld Medical Laboratories, I, LTD.

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1437296175
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1184859225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011954",
            "telephone_number": "512-324-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011954",
            "telephone_number": "512-324-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P8626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337718601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vibrant Path LLC
• Kelsy A Vick, PT
• Madison Haley Vick, FNP-C
• Frances Vickerman, MA, CCC-SLP
• Anne Vickers, LMSW
• Jessica Vickers
• Stephen Vickers
• Vickie'S Home Care LLC
• Kevin Elphage Vicknair II, CSFA
• Angela Vickrey, LCDC

• Dermatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.