ERIC WILLIAM VICKREY (P.A.) – Physician Assistant, NPI 1548212111

ERIC WILLIAM VICKREY (P.A.) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA60457080 (WA). The NPI Number for ERIC WILLIAM VICKREY (P.A.) is 1548212111

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
ERIC WILLIAM VICKREY (P.A.)
NPI
1548212111
Phone
(224) 217-1436
Address
2033 2ND AVE APT 1805
Enumeration Date
16 May 2006
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606978000
Graduation Year
2003 (23 years ago)
PAC ID
3779473590
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20140725002331
Address ID
WA983706555PO19917AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for ERIC WILLIAM VICKREY (P.A.)

  • 2033 2ND AVE APT 1805

    SEATTLE, WA 981212253

    Phone: (224) 217-1436

    Type: Mailing

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 520-5700

    Type: Mailing

  • 825 EASTLAKE AVE E

    SEATTLE, WA 981094405

    Phone: (206) 520-5000

    Type: Location

  • Swedish Medical Center Edmonds Campus, 21601, 76th Avenue West, Perrinville, Edmonds, Snohomish County, Washington, 98026, United States

    EDMONDS, WA 98026

    Phone: (425) 640-4682

    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: 2014-07-25

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
I20140725002331IPhysician AssistantWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1816$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 98121)

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Provider's Procedures

ERIC WILLIAM VICKREY (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4949

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: 0446162697View full group profile

Reviews

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Frequently asked questions

Does ERIC WILLIAM VICKREY (P.A.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ERIC WILLIAM VICKREY (P.A.) uses 1548212111.
Can I rely on ERIC WILLIAM VICKREY (P.A.) being an active provider?
As of the registry snapshot, ERIC WILLIAM VICKREY (P.A.) is marked active.
What is ERIC WILLIAM VICKREY (P.A.)'s primary classification?
Physician Assistant is the headline specialty for ERIC WILLIAM VICKREY (P.A.) here. Clinical services aligned with this taxonomy classification.
Where should I expect ERIC WILLIAM VICKREY (P.A.) on a map?
Expect Seattle, Washington as a primary anchor for ERIC WILLIAM VICKREY (P.A.) unless the record lists multiple sites.
Is the information about ERIC WILLIAM VICKREY (P.A.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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