MS. STEPHANIE KAYE VICKERY (PA-C) – Physician Assistant, NPI 1245711357
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for MS. STEPHANIE KAYE VICKERY (PA-C)
3595 US HIGHWAY 50
SILVER SPRINGS, NV 894299613
Phone: (775) 577-2117
Fax: (775) 577-2769
Type: Mailing
3595 E. HIGHWAY 50
MAIL CODE: HR2
SILVER SPRINGS, NV 89429
Phone: (755) 772-1177
Type: Location
1155 MILL ST MS M14
RENO, NV 895021576
Phone: (775) 982-5262
Fax: (775) 982-4196
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: ABBVIE INC. ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $29 |
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: 2025-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200515000332 | I | Physician Assistant | NV | TBD |
| I20251009002286 | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 18 | 17 | $0 |
Insurance plans in this area (ZIP 89429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Mental Health Counselor | ID | |
| - | ID | |
| Nurse Practitioner | MI | |
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| Mental Health Counselor | ID |
Reviews
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