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MADISON SHANE VICK MD
NPI 1063350676
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since March 24, 2026PECOS Enrolled
2021 PERDIDO ST, NEW ORLEANS, LA 70112(504) 962-6110(504) 568-7884 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Shane Vick Md NPPES

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

MADISON SHANE VICK MD (NPI 1063350676) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063350676
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMADISON SHANE VICKCredential: MD
Location Address2021 PERDIDO STNew Orleans, LA 70112-1352
Mailing Address2021 Perdido StNew Orleans, LA 70112-1352 · (504) 962-6110 · Fax (504) 568-7884
Phone(504) 962-6110
Fax(504) 568-7884
Sole ProprietorNo
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1063350676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2021 PERDIDO ST, New Orleans, LA 70112
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Shane Vick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JORGE ALAN MARTINEZ MD
Internal Medicine
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-3000
AJA NICOLE TUCKER
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 962-6110
DR. JAMES MICHAEL RIOPELLE MD
Anesthesiology
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-3000
HAROLD STEVENSON MUSTIN III CRNA
Nurse Anesthetist, Certified Registered
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-3370
STEPHEN MICHAEL KELLY CRNA
Nurse Anesthetist, Certified Registered
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-3370
ASHLEE BABST
Nurse Anesthetist, Certified Registered
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 875-9750
TYLER HERNANDEZ MD
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 962-6110
JODY ZANCA FNP
Nurse Practitioner (Family)
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-4447

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 Madison Vick's NPI number?

The NPI number for Madison Vick is 1063350676. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Madison Vick located?

Madison Vick practices at 2021 Perdido St, New Orleans, LA 70112. The listed phone number is (504) 962-6110.

What is Madison Vick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Madison Vick enrolled in Medicare?

Yes. Madison Vick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Vick was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.