MARIE E VICKERY (CRNA) – Anesthesiology Physician, NPI 1528050705

MARIE E VICKERY (CRNA) is a healthcare provider. based in Wichita, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 54304 (KS). The NPI Number for MARIE E VICKERY (CRNA) is 1528050705

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
MARIE E VICKERY (CRNA)
NPI
1528050705
Phone
(316) 686-7327
Address
8080 E CENTRAL AVE
Enumeration Date
16 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3164403200
Graduation Year
1982 (44 years ago)
PAC ID
1759338023
Group Practice PAC ID
6305206764
Professional Enrollment ID
I20050407001265
Address ID
KS670025500AN1124XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

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Provider Addresses for MARIE E VICKERY (CRNA)

  • 8080, East Central Avenue, Forest Hills, Wichita, Sedgwick County, Kansas, 67206, United States

    STE 250

    WICHITA, KS 672062361

    Phone: (316) 686-7327

    Fax: (316) 686-1557

    Type: Mailing

  • Wesley Medical Center, 550, North Hillside Street, Wichita, Sedgwick County, Kansas, 66214, United States

    WICHITA, KS 672144910

    Phone: (316) 962-3030

    Type: Location

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: 2005-04-07

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
I20050407001265ICertified Registered Nurse Anesthetist (Crna)KSTBD

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 67206)

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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: 6305206764View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

What unique ID ties claims to MARIE E VICKERY (CRNA)?
NPI 1528050705 is assigned to MARIE E VICKERY (CRNA) under the national enumeration system.
Is MARIE E VICKERY (CRNA) currently active in the NPI registry?
CMS-published data lists MARIE E VICKERY (CRNA) as an active registrant.
What kind of provider is MARIE E VICKERY (CRNA)?
The page reflects Anesthesiology Physician for MARIE E VICKERY (CRNA). Clinical services aligned with this taxonomy classification.
Does MARIE E VICKERY (CRNA) practice in Kansas?
You will see Wichita, Kansas on file for MARIE E VICKERY (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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