KENNETH VICKERS JR. CRNA
NPI 1023387230
Nurse Anesthetist, Certified Registered in Waco, TX
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
14Medicare enrollment records show Kenneth Vickers reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waco, TX 76712
- Reassigned Medicare billing, Texas enrollment
- 17 clinicians in this Medicare group
Waxahachie, TX 75165
- Reassigned Medicare billing, Texas enrollment
- 234 clinicians in this Medicare group
Burleson, TX 76028
- Reassigned Medicare billing, Texas enrollment
- 429 clinicians in this Medicare group
Arlington, TX 76015
- Reassigned Medicare billing, Texas enrollment
- 64 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 509 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Texas enrollment
- 1,164 clinicians in this Medicare group
Dallas, TX 75208
- Reassigned Medicare billing, Texas enrollment
- 21 clinicians in this Medicare group
Hurst, TX 76054
- Reassigned Medicare billing, Texas enrollment
- 28 clinicians in this Medicare group
Mesquite, TX 75150
- Reassigned Medicare billing, Texas enrollment
- 710 clinicians in this Medicare group
Hurst, TX 76054
- Reassigned Medicare billing, Texas enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, TXPhysician 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.
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.
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.
WACO, TX 76712
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.
Which organizations bill Medicare for Kenneth Vickers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Vickers reassigns Medicare benefits to 14 organizations: Brazos Gi Anesthesia LLC (Waco, TX), Ntx Anesthesiology Consultants PLLC (Waxahachie, TX), Northstar Anesthesia II PA (Burleson, TX), Anesthesiology Consultants Of North Texas PA (Arlington, TX), Sound Physicians Anesthesiology Of Texas PLLC (Fort Worth, TX) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Vickers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 18 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.
# Kenneth Vickers Jr., CRNA · NPI 1023387230
Nurse Anesthetist, Certified Registered physician in Waco, Texas. Individual provider, active in the CMS NPPES registry since December 16, 2011.
## Identity
- **NPI:** 1023387230 (Entity type: Individual)
- **Enumerated:** December 16, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP121629 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 HILLCREST MEDICAL BLVD, Waco, TX 76712-8897
- **Phone:** (254) 230-1509
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Brazos Gi Anesthesia LLC (NPI 1073806360, Waco, TX); Ntx Anesthesiology Consultants PLLC (NPI 1912410739, Waxahachie, TX); Northstar Anesthesia II PA (NPI 1477066405, Burleson, TX); Anesthesiology Consultants Of North Texas PA (NPI 1699712596, Arlington, TX); Sound Physicians Anesthesiology Of Texas PLLC (NPI 1295356277, Fort Worth, TX); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023387230) · Data from the CMS NPPES public registry.