VICKY ST JOHN (APRN) – Family Nurse Practitioner, NPI 1033580394

VICKY ST JOHN (APRN) is a healthcare provider. based in Jasper, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. AP129324 (TX). The NPI Number for VICKY ST JOHN (APRN) is 1033580394

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
VICKY ST JOHN (APRN)
NPI
1033580394
Phone
(409) 384-3430
Address
315 W HOUSTON ST
Enumeration Date
13 October 2015
Last Update Date
27 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4093843430
Graduation Year
2015 (11 years ago)
PAC ID
1254631963
Group Practice PAC ID
7113958539
Professional Enrollment ID
I20151202002484
Address ID
TX759514002JA315XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for VICKY ST JOHN (APRN)

  • 315 W HOUSTON ST

    JASPER, TX 759514013

    Phone: (409) 384-3430

    Fax: (409) 383-1054

    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 5 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: ABBVIE INC. ($77).

Total Amount

$95

General + Research + Ownership

Payments

5

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2015-12-02

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
I20151202002484INurse PractitionerTXTBD

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 75951)

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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: 7113958539View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to VICKY ST JOHN (APRN)?
NPI 1033580394 is assigned to VICKY ST JOHN (APRN) under the national enumeration system.
Is VICKY ST JOHN (APRN) currently active in the NPI registry?
CMS-published data lists VICKY ST JOHN (APRN) as an active registrant.
What kind of provider is VICKY ST JOHN (APRN)?
The page reflects Family Nurse Practitioner for VICKY ST JOHN (APRN). Clinical services aligned with this taxonomy classification.
Where is VICKY ST JOHN (APRN)'s primary listing?
We display Jasper, Texas because that is what the record indicates for VICKY ST JOHN (APRN).
Is VICKY ST JOHN (APRN) a real provider?
This page reflects official NPPES data for NPI 1033580394. Always confirm identity and privileges with the practice and licensing boards.

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