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MS. KATHERINE DIAZ VICKERY MD, MSC
NPI 1538335146
Family Medicine in Minneapolis, MN

Active since May 03, 2008PECOS EnrolledAccepts Medicare Assignment
701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-6852 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Katherine Diaz Vickery Md, Msc NPPES

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

MS. KATHERINE DIAZ VICKERY MD, MSC (NPI 1538335146) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (52548) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2008).

NPPES Registry Identity

NPI1538335146
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. KATHERINE DIAZ VICKERYCredential: MD, MSC
Location Address701 PARK AVEMinneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-6852
Phone(612) 873-6852
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2008
Enumeration DateMay 3, 2008
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1538335146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 52548✔ Licensed in MI · 4301100106
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
701 PARK AVE, Minneapolis, MN 55415
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Ms. Katherine Diaz Vickery Md, Msc 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 ID8729268339
PECOS Enrollment IDI20120928000298
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Vickery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hennepin Healthcare System, Inc
Same address
Rehabilitation Unit
701 PARK AVE, P1-FINANCE
Minneapolis, MN 55415
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1033138136 (612) 873-3000
Hennepin County
0.2 mi
Public Health or Welfare
525 PORTLAND AVE, LEVEL #4 MC952
Minneapolis, MN 55415
  • Reassigned Medicare billing, Minnesota enrollment
  • 192 clinicians in this Medicare group
NPI 1295812386 (612) 543-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

DR. MICHAEL CHARLES HARLOW MD
Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
DANIEL HART
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
GEORGE NOESEN
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
MRS. CARMODY ALICE SIME LPCC, LADC
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 432-2008
MR. JUSTIN GREGORY SCHULZ MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
EVAN SMITH
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
ALEXA M LYON MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
SUMEDHA REDDY BANDI DO
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000

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 Katherine Vickery's NPI number?

The NPI number for Katherine Vickery is 1538335146. It was assigned to this individual provider in the NPPES registry on May 3, 2008.

Where is Katherine Vickery located?

Katherine Vickery practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-6852.

What is Katherine Vickery's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Vickery enrolled in Medicare?

Yes. Katherine 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.

Which organizations bill Medicare for Katherine Vickery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Vickery reassigns Medicare benefits to 2 organizations: Hennepin Healthcare System, Inc (Minneapolis, MN) and Hennepin County (Minneapolis, MN). 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 Katherine Vickery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Vickery accept?

Health plans from HealthPartners list Katherine 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 Katherine Vickery was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.