Individual provider Active NPI

Vickrey Vaughn Kinkade, APN

  • Women's Health Nurse Practitioner
  • Elko, NV
National Provider Identifier
1639268170
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN00364 Issued in NV
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002404011MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200618000940 NV Practitioner - Nurse Practitioner 0749579092 Reassigns benefits to 2 organizations
I20240108006213 AZ Practitioner - Nurse Practitioner 0749579092 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN00364NVMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates CurrentSince Feb 1, 2024 Accepting new patients
Battle Mountain General Hospital CurrentSince Mar 6, 2020 Accepting new patients
Battle Mountain General Hospital CurrentSince Mar 6, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.