VICKREY VAUGHN KINKADE (APN) – Obstetrics & Gynecology Nurse Practitioner, NPI 1639268170

VICKREY VAUGHN KINKADE (APN) is a healthcare provider. based in Elko, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. APN00364 (NV). The NPI Number for VICKREY VAUGHN KINKADE (APN) is 1639268170

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
VICKREY VAUGHN KINKADE (APN)
NPI
1639268170
Phone
(775) 778-0386
Address
1775 BROWNING WAY
Enumeration Date
12 October 2006
Last Update Date
16 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9285376700
Graduation Year
1996 (30 years ago)
PAC ID
0749579092
Group Practice PAC ID
8729205737
Professional Enrollment ID
I20240108006213
Address ID
AZ859017801SH4951XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for VICKREY VAUGHN KINKADE (APN)

  • 1775, Browning Way, Elko, Elko County, Nevada, 89801, United States

    SUITE 104

    ELKO, NV 898018348

    Phone: (775) 778-0386

    Fax: (775) 777-1152

    Mailing address matches the actual address.

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$15
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: 2024-01-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200618000940INurse PractitionerNVTBD
I20240108006213INurse PractitionerAZTBD

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 89801)

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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: 8729205737View full group profile
NameSpecialtyState
-AZ
-OH
Nurse PractitionerAZ
Physician AssistantAZ
U R O L O G YUT
-AZ
Family Practice, Critical Care (Intensivists)AZ
O B S T E T R I C S/ G Y N E C O L O G YAZ
-AZ
-AZ

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Frequently asked questions

Does VICKREY VAUGHN KINKADE (APN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — VICKREY VAUGHN KINKADE (APN) uses 1639268170.
Does the file indicate VICKREY VAUGHN KINKADE (APN) is practicing under active NPI?
Directory data currently reports VICKREY VAUGHN KINKADE (APN) as active.
What is VICKREY VAUGHN KINKADE (APN)'s specialty?
The listing groups VICKREY VAUGHN KINKADE (APN) with Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does VICKREY VAUGHN KINKADE (APN) list a practice location?
Patients near Elko, Nevada may find VICKREY VAUGHN KINKADE (APN) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.