KATHERINE VICKERS FNP
NPI 1104225077
Nurse Practitioner - Family in San Antonio, TX

Q: What is Katherine Vickers's NPI number?

The NPI number for Katherine Vickers is 1104225077. It was assigned to this individual provider in the NPPES registry on August 17, 2014.

Q: What is Katherine Vickers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Vickers was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 17, 2014PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000(210) 358-4775 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Katherine Vickers Fnp NPPES

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

KATHERINE VICKERS FNP (NPI 1104225077) is an individual family provider in San Antonio, Texas, licensed in Texas (1136626) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104225077

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHERINE VICKERSCredential: FNP

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address903 W Martin St # Ms 49-2San Antonio, TX 78207-0903 · (201) 358-5909 · Fax (210) 358-5940

Phone(210) 358-4000

Fax(210) 358-4775

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 17, 2014

Last NPPES UpdateDecember 19, 2024

NPPES CertifiedDecember 19, 2024

✔ NPI 1104225077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1136626

4502 MEDICAL DR, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.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

Katherine Vickers Fnp 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 ID547793184

PECOS Enrollment IDI20241104002647

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.

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)