KAYDEAN J VICKERS (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063908242

KAYDEAN J VICKERS (FNP) is a healthcare provider. based in Virginia beach, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024176301 (VA). The NPI Number for KAYDEAN J VICKERS (FNP) is 1063908242

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KAYDEAN J VICKERS (FNP)
NPI
1063908242
Phone
(757) 460-5205
Address
4360 SHORE DR STE 101
Enumeration Date
10 July 2018
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8777792429
Graduation Year
2013 (13 years ago)
PAC ID
6204255805
Group Practice PAC ID
5193021848
Professional Enrollment ID
I20220113000569
Address ID
FL344748443OC3200XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for KAYDEAN J VICKERS (FNP)

  • Shore Drive, Virginia Beach, Virginia, United States

    VIRGINIA BEACH, VA 234552994

    Phone: (757) 460-5205

    Type: Mailing

  • 3200 SW 34th Ave Ste 701

    Ocala, FL 344748443

    Phone: (352) 445-1200

    Type: Location

  • 3200 SW 34TH AVE STE 701

    OCALA, FL 344748443

    Phone: (877) 779-2429

    Type: Mailing

  • 725 N 12TH AVE BLDG B

    ARCADIA, FL 342668752

    Phone: (863) 494-1242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $717.

Total Amount is formed as General ($717) + Research ($0) + Ownership ($0) = $717.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($228).

Total Amount

$717

General + Research + Ownership

Payments

39

Total payment records

General Amount

$717

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

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: 2022-01-13

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
I20220113000569INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes607367$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes11154$0
90792Psychiatric diagnostic evaluation with medical services7575$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5044$0
99483Assessment of and care planning for patient with impaired thought processing, typically 60 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 23455)

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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: 5193021848View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical Social WorkerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows KAYDEAN J VICKERS (FNP) across health systems?
The NPI 1063908242 uniquely identifies KAYDEAN J VICKERS (FNP) in U.S. healthcare data.
Is KAYDEAN J VICKERS (FNP)'s NPI status active today?
Active status means KAYDEAN J VICKERS (FNP)'s NPI record is not deactivated in the public file.
What services align with KAYDEAN J VICKERS (FNP)'s listing?
KAYDEAN J VICKERS (FNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KAYDEAN J VICKERS (FNP) in Virginia Beach, Virginia?
For routing, start with Virginia Beach, Virginia for KAYDEAN J VICKERS (FNP), then verify phone and hours locally.
Why is information missing for KAYDEAN J VICKERS (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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