Individual provider Active NPI

Erin Maige Vickers, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Destin, FL
National Provider Identifier
1831702760
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007892 Issued in FL
Practice address
155 Crystal Beach Dr Ste 200
Destin, FL 32541-3588
Phone
(850) 353-2055
Fax
(855) 344-6080
NPI assigned
Aug 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007892 FL Primary

Addresses

Primary practice location

155 Crystal Beach Dr Ste 200
Destin, FL 32541-3588

Mailing address

155 Crystal Beach Dr Ste 200
Destin, FL 32541-3588
Phone (850) 353-2055

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105000107 FL Practitioner - Nurse Practitioner 3577976927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Neurosurgery and Spine Center PAGroup PAC ID 0042683559, 4 clinicians

Practice addresses (Care Compare)

155 Crystal Beach Dr
Suite 200
Destin, FL 32541-3588
Phone (850) 353-2055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11007892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince May 27, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince May 27, 2025 Accepting new patients
Florida Neurosurgery and Spine Center PA CurrentSince Mar 3, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

155 Crystal Beach Dr
Ste 200
Destin, FL 32541
Phone (850) 353-2055

6611 Orion Dr
Ste 103
Fort Myers, FL 33912

13550 SW 120th St
Ste 510
Miami, FL 33186

1604 Governors Square Blvd
Ste 1
Tallahassee, FL 32301

341 Bullard Pkwy
Ste Ab
Temple Terrace, FL 33617

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

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.

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1831702760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL BEACH DR STE 200",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413588",
            "telephone_number": "850-353-2055",
            "fax_number": "855-344-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL BEACH DR STE 200",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413588",
            "telephone_number": "850-353-2055",
            "fax_number": "855-344-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "ERIN",
        "middle_name": "MAIGE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.