CHRISTINA VICKERS (PA-C) – Physician Assistant, NPI 1215473715

CHRISTINA VICKERS (PA-C) is a healthcare provider. based in Hampton, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110010172 (VA). The NPI Number for CHRISTINA VICKERS (PA-C) is 1215473715

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA VICKERS (PA-C)
NPI
1215473715
Phone
(757) 827-2480
Address
901 ENTERPRISE PKWY STE 900
Enumeration Date
9 January 2017
Last Update Date
5 July 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7572061004
Graduation Year
2024 (2 years ago)
PAC ID
5294273918
Group Practice PAC ID
2466345814
Professional Enrollment ID
I20240813002442
Address ID
VA231882507WI4037XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for CHRISTINA VICKERS (PA-C)

  • 901 ENTERPRISE PKWY STE 900

    HAMPTON, VA 236666250

    Phone: (757) 827-2480

    Fax: (757) 827-2566

    Type: Location

  • 7824, Windy Hill Road, Nuttall, Gloucester County, Virginia, 23061, United States

    GLOUCESTER, VA 230615327

    Phone: (804) 577-0397

    Type: Mailing

  • 4037 Ironbound Rd

    Williamsburg, VA 231882507

    Phone: (757) 206-1004

    Fax: (757) 645-3965

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-13

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
I20240813002442IPhysician AssistantVATBD

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 23666)

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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: 2466345814View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeVA
Nurse PractitionerVA
-VA
Orthopedic SurgeryVA
Orthopedic SurgeryVA
-VA
Orthopedic SurgeryVA
-VA
Orthopedic SurgeryNC
Sports Medicine, Orthopedic SurgeryVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHRISTINA VICKERS (PA-C)?
CHRISTINA VICKERS (PA-C) — NPI 1215473715 — is the standard way to identify this listing.
Does the file indicate CHRISTINA VICKERS (PA-C) is practicing under active NPI?
Directory data currently reports CHRISTINA VICKERS (PA-C) as active.
What is CHRISTINA VICKERS (PA-C)'s primary classification?
Physician Assistant is the headline specialty for CHRISTINA VICKERS (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for CHRISTINA VICKERS (PA-C)?
CHRISTINA VICKERS (PA-C)'s geographic hint is Hampton, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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