CHAD RANDAL VICKERS PMHNP
NPI 1780753681
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN
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
Specialties & Licenses 2
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chad Randal Vickers Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Chad Vickers reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elk River, MN 55330
- Reassigned Medicare billing, Minnesota enrollment
- 48 clinicians in this Medicare group
Willmar, MN 56201
- Reassigned Medicare billing, Minnesota enrollment
- 54 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 284 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 88 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PAUL, MN 55107
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.
Which organizations bill Medicare for Chad Vickers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chad Vickers reassigns Medicare benefits to 5 organizations: Central Minnesota Mental Health Center (Elk River, MN), Woodland Centers (Willmar, MN), Texas Health Virtual Care (Dallas, TX), Acclaim Physician Group, Inc (Fort Worth, TX) and Westside Family Healthcare, Inc (Newark, DE). 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 Chad Vickers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chad Vickers accept?
Health plans from Blue Cross and Blue Shield of Texas, HealthPartners and Medica 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.
# Chad Randal Vickers, PMHNP · NPI 1780753681
Psychiatric/Mental Health physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1780753681 (Entity type: Individual)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 6371 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 COLORADO STREET EAST, Saint Paul, MN 55107
- **Phone:** (651) 489-7740 · **Fax:** (651) 489-6458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Central Minnesota Mental Health Center (NPI 1114048170, Elk River, MN); Woodland Centers (NPI 1295818862, Willmar, MN); Texas Health Virtual Care (NPI 1942951199, Dallas, TX); Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX); Westside Family Healthcare, Inc (NPI 1801898556, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2020
- **Other identifiers:** Medicaid 200101760A (OK); Medicaid 1780753681 (MN); Other 868N62 (TX); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780753681) · Data from the CMS NPPES public registry.