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DOMONIQUE VICKERS
NPI 1306419098
Nurse Practitioner - Family in Ruskin, FL

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment
15418 FIRE ROCK PL, RUSKIN, FL 33573(813) 498-9937 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Domonique Vickers NPPES

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

DOMONIQUE VICKERS (NPI 1306419098) is an individual family provider in Ruskin, Florida, licensed in Florida (APRN11005306) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306419098
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMONIQUE VICKERS
Location Address15418 FIRE ROCK PLRuskin, FL 33573-0196
Mailing Address15418 Fire Rock PlRuskin, FL 33573-0196 · (813) 498-9937
Phone(813) 498-9937
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1306419098 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 FL · APRN11005306
15418 FIRE ROCK PL, Ruskin, FL 33573
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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 and accepts Medicare assignment

Domonique Vickers 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 ID1951785435
PECOS Enrollment IDI20220901000924
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.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
196 services42 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
68 services20 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
21 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Domonique Vickers's NPI number?

The NPI number for Domonique Vickers is 1306419098. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Domonique Vickers located?

Domonique Vickers practices at 15418 Fire Rock Pl, Ruskin, FL 33573. The listed phone number is (813) 498-9937.

What is Domonique Vickers's specialty?

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

Is Domonique Vickers enrolled in Medicare?

Yes. Domonique 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.

When was this NPI record last updated?

The NPPES record for Domonique Vickers was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.