LYNAUDRY VICKERS PMHNP
NPI 1992358493
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
202 NW 13TH AVE, PORTLAND, OR 97209(503) 684-8252 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2020, Jul 23, 2019 (2 updates tracked since 2019).

About Lynaudry Vickers Pmhnp NPPES

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

LYNAUDRY VICKERS PMHNP (NPI 1992358493) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202008402NP-PP) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992358493
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYNAUDRY VICKERSCredential: PMHNP
Location Address202 NW 13TH AVEPortland, OR 97209-2953
Mailing Address202 Nw 13th AvePortland, OR 97209-2953
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 23, 2019
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
NPI 1992358493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 202008402NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 201902562RN (OR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
202 NW 13TH AVE, Portland, OR 97209

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

Lynaudry Vickers Pmhnp 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 ID5092107763
PECOS Enrollment IDI20220110002475
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 11

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

Non-Pharmacy Dispensing Site
202 NW 13TH AVE
PORTLAND, OR 97209
Nurse Practitioner (Family)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Medical)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Surgical)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Medical)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Medical)
202 NW 13TH AVE
PORTLAND, OR 97209
Behavior Analyst
202 NW 13TH AVE
PORTLAND, OR 97209
Internal Medicine
202 NW 13TH AVE
PORTLAND, OR 97209

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 Lynaudry Vickers's NPI number?

The NPI number for Lynaudry Vickers is 1992358493. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Lynaudry Vickers located?

Lynaudry Vickers practices at 202 NW 13th Ave, Portland, OR 97209. The listed phone number is (503) 684-8252.

What is Lynaudry Vickers's specialty?

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

Is Lynaudry Vickers enrolled in Medicare?

Yes. Lynaudry 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 Lynaudry Vickers accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lynaudry 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 Lynaudry Vickers was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.