Individual provider Active NPI

Michael J Vickers, M.D.

  • Neurology Physician
  • Naples, FL
National Provider Identifier
1427057371
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME87972 Issued in FL
Practice address
1660 Medical Blvd Ste 200
Naples, FL 34110-1416
Phone
(239) 566-3434
Fax
(239) 466-2143
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME87972 FL Primary

Addresses

Primary practice location

1660 Medical Blvd Ste 200
Naples, FL 34110-1416

Mailing address

3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040204000553 FL Practitioner - Neurology 9638062664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

1660 Medical Blvd
Suite 200
Naples, FL 34110-1416
Phone 23956634344016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87972FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL CurrentSince Jan 1, 2003 Accepting new patients
Neuroscience and Spine Associates PL Current Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Jul 15, 2003 Accepting new patients
Neuroscience and Spine Associates PL Past Accepting new patients

Locations

8380 Riverwalk Park Blvd
#3
Fort Myers, FL 33919
Phone (941) 437-1121

550 New Market Rd E
Ste 4
Immokalee, FL 34142
Phone (239) 566-3434

877 111th Ave N
Ste 1
Naples, FL 34108
Phone (239) 594-8002

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

3191 Harbor Blvd
Ste D
Pt Charlotte, FL 33952
Phone (941) 334-6634

Interoperability endpoints

  • Direct secure messaging: michaelvickersmd@nsapl.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1427057371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101416",
            "telephone_number": "239-566-3434",
            "fax_number": "239-466-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME87972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.