Keisha Vickman
NPI 1114526530 · Nurse Practitioner · Green Bay, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keisha Vickman is a Nurse Practitioner provider in Green Bay, WI (NPI 1114526530).
Provider details
- NPI number
- 1114526530
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10477 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-19
- Last updated
- 2020-10-19
- Certified
- 2020-09-29
Frequently asked questions
- What is Keisha Vickman's NPI number?
- Keisha Vickman's National Provider Identifier (NPI) is 1114526530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keisha Vickman's specialty?
- Keisha Vickman is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keisha Vickman located?
- Keisha Vickman's practice location on file with NPPES is 835 S Van Buren St, Green Bay, WI 54301-3526.
- What is Keisha Vickman's phone number?
- The practice phone number listed in the NPPES registry for Keisha Vickman is (920) 433-0111.
- Does Keisha Vickman accept Medicare?
- Keisha Vickman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keisha Vickman's NPI active?
- Yes — Keisha Vickman's NPI (1114526530) is active in the NPPES registry as of the last update on 2020-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.