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CHAD RANDAL VICKERS PMHNP
NPI 1780753681
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Active since November 06, 2006PECOS Enrolled
135 COLORADO STREET EAST, SAINT PAUL, MN 55107(651) 489-7740(651) 489-6458 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2020, Jan 22, 2019, Jan 2, 2019 (3 updates tracked since 2019).

About Chad Randal Vickers Pmhnp NPPES

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

CHAD RANDAL VICKERS PMHNP (NPI 1780753681) is an individual psychiatric/mental health provider in Saint Paul, Minnesota, licensed in Minnesota (6371) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780753681
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCHAD RANDAL VICKERSCredential: PMHNP
Location Address135 COLORADO STREET EASTSaint Paul, MN 55107
Mailing Address135 Colorado Street EastSaint Paul, MN 55107 · (651) 489-7740 · Fax (651) 489-6458
Phone(651) 489-7740
Fax(651) 489-6458
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateApril 22, 20203 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1780753681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · 6371✔ Licensed in DE · L8-0000171✔ Licensed in TX · 706002
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 706002 (TX)
135 COLORADO STREET EAST, Saint Paul, MN 55107
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Other Identifiers 6

Medicaid200101760AOK
Medicaid1780753681MN
Other868N62TX · Bcbs
OtherP01078815TX · Railroad Medicare
Medicaid182997003TX
Medicaid182997001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HealthPartners, Highmark Blue Cross Blue Shield Delaware 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 (PECOS)

Chad Randal Vickers Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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

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

TAPESTRY TREATMENT CENTER LLC
Substance Abuse Rehabilitation Facility
135 COLORADO STREET EAST
ST PAUL, MN 55107
Ramsey County (651) 489-7740

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 Chad Vickers's NPI number?

The NPI number for Chad Vickers is 1780753681. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Chad Vickers located?

Chad Vickers practices at 135 Colorado Street East, Saint Paul, MN 55107. The listed phone number is (651) 489-7740.

What is Chad Vickers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Chad Vickers enrolled in Medicare?

Yes. Chad Vickers is registered in the Medicare PECOS enrollment system.

What insurance does Chad Vickers accept?

Health plans from Blue Cross and Blue Shield of Texas, HealthPartners, Highmark Blue Cross Blue Shield Delaware and UnitedHealthcare list Chad Vickers 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 Chad Vickers was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.