ROBERT ADAM VICKREY (MSN-FNP) – Family Nurse Practitioner, NPI 1083222145

ROBERT ADAM VICKREY (MSN-FNP) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN-FNP. They hold a License No. 1-124760 (AL). The NPI Number for ROBERT ADAM VICKREY (MSN-FNP) is 1083222145

Main info

Male
Sole Proprietor
6 Years Of Experience
Name
ROBERT ADAM VICKREY (MSN-FNP)
NPI
1083222145
Phone
(251) 591-1599
Address
1718 HUNTERS RIDGE DR W
Enumeration Date
15 July 2020
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2513439600
Graduation Year
2020 (6 years ago)
PAC ID
2466863519
Group Practice PAC ID
3779493226
Professional Enrollment ID
I20201123000986
Address ID
AL366092958MO1515XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ROBERT ADAM VICKREY (MSN-FNP)

  • 1718 HUNTERS RIDGE DR W

    MOBILE, AL 366959246

    Phone: (251) 591-1599

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201123000986INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36695)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779493226View full group profile
NameSpecialtyState
Family PracticeAL

Reviews

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Frequently asked questions

Is there an official ID for ROBERT ADAM VICKREY (MSN-FNP) in U.S. healthcare records?
The official identifier for ROBERT ADAM VICKREY (MSN-FNP) is NPI 1083222145.
Would ROBERT ADAM VICKREY (MSN-FNP) appear as active to a payer?
You can treat ROBERT ADAM VICKREY (MSN-FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ROBERT ADAM VICKREY (MSN-FNP)?
At a glance, ROBERT ADAM VICKREY (MSN-FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT ADAM VICKREY (MSN-FNP)?
Travel planning: use Mobile, Alabama as the reference point for ROBERT ADAM VICKREY (MSN-FNP), then confirm.
When was this NPI issued?
Enumeration for ROBERT ADAM VICKREY (MSN-FNP) is noted as July 15, 2020 where the registry provides it.

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