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VICKI JOYCE CONRAD M.D.
NPI 1710052865
General Practice in Edmond, OK

Active since November 22, 2006Opted out of Medicare · through Jul 1, 2027
1616 S BOULEVARD ST, SUITE B, EDMOND, OK 73013(405) 341-5691(405) 348-7543 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vicki Joyce Conrad M.d. NPPES

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

VICKI JOYCE CONRAD M.D. (NPI 1710052865) is an individual general practice provider in Edmond, Oklahoma, licensed in Oklahoma (14083) and active in the NPI registry since November 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710052865
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameVICKI JOYCE CONRADCredential: M.D.
Location Address1616 S BOULEVARD ST, SUITE BEdmond, OK 73013-5155
Mailing Address1616 S Boulevard St, Suite BEdmond, OK 73013-5155 · (405) 341-5691 · Fax (405) 348-7543
Phone(405) 341-5691
Fax(405) 348-7543
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1710052865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OK · 14083
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1616 S BOULEVARD ST, Edmond, OK 73013
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Other Identifiers 2

Medicare UPINC94793OK
Medicaid200081600AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Vicki Joyce Conrad M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOM KIRBY BALL DDS
Dentist
1616 S BOULEVARD ST, SUITE A
EDMOND, OK 73013
Oklahoma County (405) 348-2641

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 Vicki Conrad's NPI number?

The NPI number for Vicki Conrad is 1710052865. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Vicki Conrad located?

Vicki Conrad practices at 1616 S Boulevard St Suite B, Edmond, OK 73013. The listed phone number is (405) 341-5691.

What is Vicki Conrad's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Vicki Conrad enrolled in Medicare?

No. Vicki Conrad has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Vicki Conrad was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.