ROSEVAN VICKERY RN, FNP-BC
NPI 1285386235
Nurse Practitioner - Family in Jamaica Plain, MA

Active since January 21, 2022PECOS EnrolledAccepts Medicare Assignment
1153 CENTRE ST, JAMAICA PLAIN, MA 02130(617) 983-7000 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rosevan Vickery Rn, Fnp-bc NPPES

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

ROSEVAN VICKERY RN, FNP-BC (NPI 1285386235) is an individual family provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (RN2330687) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285386235
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSEVAN VICKERYCredential: RN, FNP-BC
Location Address1153 CENTRE STJamaica Plain, MA 02130-3446
Mailing Address13 Willow St Apt 303Lynn, MA 01901-1230 · (203) 889-8157
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 21, 2022
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1285386235 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 MA · RN2330687
1153 CENTRE ST, Jamaica Plain, MA 02130

Secondary Practice Location 1

Location 11340 Boylston StBoston, MA 02215-4302 · Phone (617) 267-0900

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

Rosevan Vickery Rn, Fnp-bc 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 ID8426443532
PECOS Enrollment IDI20220328000004
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Social Worker (Clinical)
1153 CENTRE ST, 2ND FLOOR
BOSTON, MA 02130
Nurse Practitioner (Adult Health)
1153 CENTRE ST, FAULKNER HOSPITAL , DEPT OF PREADMISSION TESTING
BOSTON, MA 02130
Pharmacist
1153 CENTRE ST
BOSTON, MA 02130
Surgery (Surgical Oncology)
1153 CENTRE ST, FAULKNER BREAST CENTRE
BOSTON, MA 02130
Physician Assistant
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
1153 CENTRE ST
BOSTON, MA 02130
Physician Assistant
1153 CENTRE ST
BOSTON, MA 02130
Internal Medicine
1153 CENTRE ST
JAMAICA PLAIN, MA 02130

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 Rosevan Vickery's NPI number?

The NPI number for Rosevan Vickery is 1285386235. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Rosevan Vickery located?

Rosevan Vickery practices at 1153 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-7000.

What is Rosevan Vickery's specialty?

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

Is Rosevan Vickery enrolled in Medicare?

Yes. Rosevan Vickery 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 Rosevan Vickery accept?

Health plans from Anthem Blue Cross and Blue Shield list Rosevan Vickery 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.

When was this NPI record last updated?

The NPPES record for Rosevan Vickery was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.