BRISTYN D VICKERS AGACNP
NPI 1942922919
Nurse Practitioner - Acute Care in Lubbock, TX

Active since September 15, 2022PECOS EnrolledAccepts Medicare Assignment
3621 22ND ST STE 400, LUBBOCK, TX 79410(806) 791-8484(806) 791-8499 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2022, Sep 15, 2022 (2 updates tracked since 2022).

About Bristyn D Vickers Agacnp NPPES

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

BRISTYN D VICKERS AGACNP (NPI 1942922919) is an individual acute care provider in Lubbock, Texas, licensed in Texas (1094003) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942922919
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBRISTYN D VICKERSCredential: AGACNP
Location Address3621 22ND ST STE 400Lubbock, TX 79410-1302
Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5844 · Fax (806) 725-6532
Fax(806) 791-8499
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 15, 2022
Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
NPI 1942922919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1094003
Also ListedHospitalistTaxonomy 208M00000X · License 1094003 (TX)
3621 22ND ST STE 400, Lubbock, TX 79410

Accepted Insurance

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

Bristyn D Vickers Agacnp 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 ID5890164412
PECOS Enrollment IDI20221202002491
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 6

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

Nurse Practitioner (Acute Care)
3621 22ND ST STE 400
LUBBOCK, TX 79410
Nurse Practitioner (Acute Care)
3621 22ND ST STE 400
LUBBOCK, TX 79410
Nurse Practitioner (Acute Care)
3621 22ND ST STE 400
LUBBOCK, TX 79410
Internal Medicine (Pulmonary Disease)
3621 22ND ST STE 400
LUBBOCK, TX 79410
Nurse Practitioner (Acute Care)
3621 22ND ST STE 400
LUBBOCK, TX 79410
Internal Medicine (Pulmonary Disease)
3621 22ND ST STE 400
LUBBOCK, TX 79410

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 Bristyn Vickers's NPI number?

The NPI number for Bristyn Vickers is 1942922919. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is Bristyn Vickers located?

Bristyn Vickers practices at 3621 22nd St Ste 400, Lubbock, TX 79410. The listed phone number is (806) 791-8484.

What is Bristyn Vickers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Bristyn Vickers enrolled in Medicare?

Yes. Bristyn 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.

What insurance does Bristyn Vickers accept?

Health plans from Blue Cross and Blue Shield of Texas list Bristyn 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.

Is Bristyn Vickers affiliated with any hospitals?

According to CMS data, Bristyn Vickers is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Bristyn Vickers was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.