AMBER M VICKERS (PA-C) – Physician Assistant, NPI 1114964616
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for AMBER M VICKERS (PA-C)
Box Social, 3971, North Williams Avenue, Mississippi, Boise, Portland, Metro, Multnomah County, Oregon, 97227, United States
BOISE, ID 837191050
Phone: (208) 955-6522
Fax: (208) 955-6503
Type: Mailing
7350 W VICTORY RD
BOISE, ID 837094237
Phone: (208) 809-2888
Fax: (208) 809-2889
Type: Location
1623, South Wells Avenue, Meridian, Ada County, Idaho, 83642, United States
MERIDIAN, ID 83642
Phone: (208) 489-1450
Fax: (208) 489-1451
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $628.
Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Novo Nordisk Inc ($127).
Total Amount
$628
General + Research + Ownership
Payments
33
Total payment records
General Amount
$628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
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: 2006-04-28
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 |
|---|---|---|---|---|
| I20060428000548 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 28 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 22 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 83719)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 81002 | Urinalysis, manual test | 29 | 28 |
Group practice members
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| Physician Assistant | ID | |
| Nurse Practitioner | MO |
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