MITCHAEL LEE VICKERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1437128857
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MITCHAEL LEE VICKERS (CRNA)
1870, Mayfield Road, Surrey Place, Alpharetta, Fulton County, Georgia, 30004, United States
ALPHARETTA, GA 300091552
Phone: (678) 763-5144
Type: Mailing
2500, Hospital Boulevard, Roswell, Fulton, Georgia, 30076, United States of America
SUITE 480
ROSWELL, GA 300764975
Phone: (678) 762-0676
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $489.
Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($237).
Total Amount
$489
General + Research + Ownership
Payments
20
Total payment records
General Amount
$489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050608000191 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 127 | 127 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 44 | 44 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 41 | 41 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 28 | 28 | $0 |
Insurance plans in this area (ZIP 30009)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA |
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