MICHAEL DAVE SR. MCVICKER (FNP-BC) – Family Nurse Practitioner, NPI 1023011343

MICHAEL DAVE SR. MCVICKER (FNP-BC) is a healthcare provider. based in Mountain view, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN120320 (MO). The NPI Number for MICHAEL DAVE SR. MCVICKER (FNP-BC) is 1023011343

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL DAVE SR. MCVICKER (FNP-BC)
NPI
1023011343
Phone
(417) 934-2273
Address
220 N ELM ST
Enumeration Date
31 May 2005
Last Update Date
6 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
6305886797
Group Practice PAC ID
3870491863
Professional Enrollment ID
I20050505000001
Address ID
MO657750000WEPOXXXBOXX203
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

7,065 NURSE PRACTITIONER in MO

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Provider Addresses for MICHAEL DAVE SR. MCVICKER (FNP-BC)

  • 220, North Elm Street, Massapequa Park, Oyster Bay, Nassau County, New York, 11758, United States

    MOUNTAIN VIEW, MO 655488644

    Phone: (417) 934-2273

    Fax: (417) 934-2232

    Type: Location

  • HC 67 BOX 76

    MOUNTAIN VIEW, MO 655489005

    Phone: (417) 934-5055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-06-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-05-05

PECOS data refreshed: 2026-06-15

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
I20050505000001INurse PractitionerMOTBD

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 65548)

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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: 3870491863View full group profile
NameSpecialtyState
Family PracticeMO
Physician AssistantOK
-IL
Internal Medicine, RheumatologyMO
A N E S T H E S I O L O G YMO
-MO
-IL
Nurse PractitionerAR
-MO
Emergency MedicineMO

Reviews

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Frequently asked questions

What NPI should I save for MICHAEL DAVE SR. MCVICKER (FNP-BC)?
Save NPI 1023011343 if you need a stable reference for MICHAEL DAVE SR. MCVICKER (FNP-BC).
Is MICHAEL DAVE SR. MCVICKER (FNP-BC)'s NPI currently valid?
The extract we use shows MICHAEL DAVE SR. MCVICKER (FNP-BC) as active.
Can you summarize MICHAEL DAVE SR. MCVICKER (FNP-BC)'s specialty in plain language?
Clinically, the directory lists MICHAEL DAVE SR. MCVICKER (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MICHAEL DAVE SR. MCVICKER (FNP-BC) practice in Missouri?
You will see Mountain View, Missouri on file for MICHAEL DAVE SR. MCVICKER (FNP-BC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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