KENNETH VICKERS JR. CRNA
NPI 1023387230
Nurse Anesthetist, Certified Registered in Waco, TX

Active since December 16, 2011Accepts Medicare Assignment
93.85/100
CMS Quality Rating
100 HILLCREST MEDICAL BLVD, WACO, TX 76712(254) 230-1509 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Vickers Jr. Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH VICKERS JR. CRNA (NPI 1023387230) is an individual nurse anesthetist, certified registered in Waco, Texas, licensed in Texas (AP121629) and active in the NPI registry since December 2011. He is affiliated with Methodist Mansfield Medical Center and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023387230
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNETH VICKERS JR.Credential: CRNA
Location Address100 HILLCREST MEDICAL BLVDWaco, TX 76712-8897
Mailing AddressPo Box 84891Dallas, TX 75284-8491
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 16, 2011
Last NPPES UpdateApril 11, 2025
NPPES CertifiedApril 11, 2025
NPI 1023387230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TX · AP121629
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
100 HILLCREST MEDICAL BLVD, Waco, TX 76712

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth Vickers Jr. Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820250541
PECOS Enrollment IDI20120425000570

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
176 services113 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
24 services19 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.72
Improvement Activities40
Cost81.58

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Neonatal)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Family)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Neonatal, Critical Care)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Anesthesiologist Assistant
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Neonatal)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Pharmacist
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Anesthesiology
100 HILLCREST MEDICAL BLVD
WACO, TX 76712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Vickers's NPI number?

The NPI number for Kenneth Vickers is 1023387230. It was assigned to this individual provider in the NPPES registry on December 16, 2011.

Where is Kenneth Vickers located?

Kenneth Vickers practices at 100 Hillcrest Medical Blvd, Waco, TX 76712. The listed phone number is (254) 230-1509.

What is Kenneth Vickers's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kenneth Vickers enrolled in Medicare?

Yes. Kenneth Vickers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Vickers accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Kenneth Vickers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Vickers affiliated with any hospitals?

According to CMS data, Kenneth Vickers is affiliated with Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Vickers was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.