Stewart Vickrey, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3008775 Issued in KY

Practice address

225 Hospital Dr
Winchester, KY 40391-7676

Phone

(859) 737-6494

Fax

(859) 737-6642

NPI assigned

Sep 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Clark Regional Physician Practices LLC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1780356253
  Medicare reassignment NPD
• Kentucky Hospital, LLC

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1770809808
  Medicare reassignment NPD
• Sterling Health Solutions, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Sterling, KY
  • NPI 1366790099

  Family

  Medicare reassignment NPD
• The Walker House Inc

  • Community/Behavioral Health Agency
  • Lexington, KY
  • NPI 1871291450
  Medicare reassignment NPD
• Clark Regional Physician Practices, LLC

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
  • NPI 1114282605

  Family

  NPD
• Kentucky Hospital LLC

  • Family Medicine Physician
  • Winchester, KY
  • NPI 1831418060
  NPD
• Sterling Health Solutions Inc

  • Federally Qualified Health Center (FQHC)
  • Paris, KY
  • NPI 1346087970
  NPD

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1982007431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531348",
            "telephone_number": "859-404-7686",
            "fax_number": "859-274-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917676",
            "telephone_number": "859-737-6494",
            "fax_number": "859-737-6642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 E Elkins St",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "KY",
            "postal_code": "403802311",
            "country_code": "US",
            "telephone_number": "606-663-2511",
            "fax_number": "859-498-8160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKREY",
        "first_name": "STEWART",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008775",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3008775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100352370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brennan Vallencourt
• Gayatri Varanasi, DMD
• Eric Robert Vetter, PHARM.D.
• Vicci Phillips LPCC PLLC
• Keri Ann Vice
• Vitale Dermatology PLLC
• Clay Wahlsmith, R.PH.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Abigail Walcott, OTD/R

• Psychiatric/Mental Health Nurse Practitioner in Winchester, KY
• Providers in Winchester, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.