Active NPI
Vickrey Vaughn Kinkade, APN
- Women's Health Nurse Practitioner
- Elko, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN00364
- Practice address
- 1775 Browning Way
Suite 104
Elko, NV 89801-8348 - Phone
- (775) 778-0386
- Fax
- (775) 777-1152
- NPI assigned
- Oct 12, 2006
- Last updated
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APRN00364 | NV | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APN00364 | NV |
Addresses
Primary practice location
1775 Browning Way
Suite 104
Elko, NV 89801-8348
Mailing address
1775 Browning Way Ste 104
Elko, NV 89801-8338
Phone (775) 778-0386
Other practice location 1
535 S Humboldt St
Battle Mountain, NV 89820-1904
Phone (775) 635-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002404011 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN00364 | NV | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Medical Associates | Current | Accepting new patients | |
| Battle Mountain General Hospital | Current | Accepting new patients | |
| Battle Mountain General Hospital | Current | Accepting new patients | |
| Summit Healthcare Medical Associates | Nurse Practitioner | Current | Accepting new patients |
| Battle Mountain General Hospital | Current | Accepting new patients | |
| Summit Healthcare Association | Past | Accepting new patients |
Locations
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700
535 S Humboldt St
Battle Mtn, NV 89820
Phone (775) 635-2424
Interoperability endpoints
- vickrey.kinkade.1@18353.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Show Low, AZ
- NPI 1467878108
Nurse Practitioner
-
- Critical Access Hospital
- Battle Mountain, NV
- NPI 1487729083
-
- Critical Access Hospital
- Battle Mountain, NV
- NPI 1104903103
-
- Skilled Nursing Facility
- Battle Mountain, NV
- NPI 1366658809
-
- Rural Health Clinic/Center
- Eagar, AZ
- NPI 1063166999
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1639268170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 BROWNING WAY STE 104",
"city": "ELKO",
"state": "NV",
"postal_code": "898018338",
"telephone_number": "775-778-0386",
"fax_number": "775-777-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 BROWNING WAY",
"address_2": "SUITE 104",
"city": "ELKO",
"state": "NV",
"postal_code": "898018348",
"telephone_number": "775-778-0386",
"fax_number": "775-777-1152"
}
],
"practiceLocations": [
{
"address_1": "535 S Humboldt St",
"address_purpose": "LOCATION",
"city": "Battle Mountain",
"state": "NV",
"postal_code": "898201904",
"country_code": "US",
"telephone_number": "775-635-2424",
"fax_number": "775-635-9463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINKADE",
"first_name": "VICKREY",
"middle_name": "VAUGHN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NV",
"license": "APRN00364",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NV",
"license": "APN00364",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002404011",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.