SAMANTHA SHORTER VICKREY FNP
NPI 1982079000
Nurse Practitioner - Family in Southaven, MS

Active since December 01, 2015PECOS EnrolledAccepts Medicare Assignment
3451 GOODMAN RD E STE 115, SOUTHAVEN, MS 38672(662) 890-5555 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2017, Dec 1, 2015 (2 updates tracked since 2015).

About Samantha Shorter Vickrey Fnp NPPES

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

SAMANTHA SHORTER VICKREY FNP (NPI 1982079000) is an individual family provider in Southaven, Mississippi, licensed in Arkansas (A004573) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982079000
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA SHORTER VICKREYCredential: FNP
Location Address3451 GOODMAN RD E STE 115Southaven, MS 38672
Mailing Address3451 Goodman Rd E Ste 115Southaven, MS 38672-9304 · (662) 890-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 1, 2015
Last NPPES UpdateMarch 27, 20192 updates tracked since enumeration
NPI 1982079000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A004573
3451 GOODMAN RD E STE 115, Southaven, MS 38672

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

Samantha Shorter Vickrey Fnp 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 ID9032410931
PECOS Enrollment IDI20171005002174
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 25

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
336 services189 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
270 services178 patients
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.
257 services148 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
248 services145 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
170 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services132 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38672 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Family Medicine
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Internal Medicine
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672

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 Samantha Vickrey's NPI number?

The NPI number for Samantha Vickrey is 1982079000. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Samantha Vickrey located?

Samantha Vickrey practices at 3451 Goodman Rd E Ste 115, Southaven, MS 38672. The listed phone number is (662) 890-5555.

What is Samantha Vickrey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Vickrey enrolled in Medicare?

Yes. Samantha Vickrey 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 Samantha Vickrey accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Samantha Vickrey 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 Samantha Vickrey affiliated with any hospitals?

According to CMS data, Samantha Vickrey is affiliated with Baptist Memorial Hospital Desoto, Methodist Healthcare - Olive Branch Hospital and Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Vickrey was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.