| Jennifer Vickers, RN, DNP, NP-C | |
|
19685 Pilot Knob Rd Ste 100, Farmington, MN 55024-7238 | |
| (651) 602-7500 | |
| (651) 602-7580 |
| Full Name | Jennifer Vickers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 19685 Pilot Knob Rd Ste 100, Farmington, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982004941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 178729-6 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 876 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Side Community Health Services, Inc. | 2062306434 | 42 |
| Entity Name | West Side Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
| Entity Name | Onsite Imaging And Speech Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295361079 PECOS PAC ID: 6507284130 Enrollment ID: O20200915000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Vickers, RN, DNP, NP-C 19685 Pilot Knob Rd Ste 100, Farmington, MN 55024-7238 Ph: (651) 602-7500 | Jennifer Vickers, RN, DNP, NP-C 19685 Pilot Knob Rd Ste 100, Farmington, MN 55024-7238 Ph: (651) 602-7500 |
Mrs. Lisa Ann Riggs, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17530 Europa Ave, Farmington, MN 55024 Phone: 218-421-5332 Fax: 218-249-0768 | |
Jessica Elizabeth Gallagher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21260 Chippendale Ave W, Farmington, MN 55024 Phone: 651-463-7181 Fax: 651-241-0829 |