Vicki Jetter, MD
NPI 1639198633 · Pediatrics Physician · Baldwin Harbour, NY
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vicki Jetter, MD is a Pediatrics Physician provider in Baldwin Harbour, NY (NPI 1639198633).
Provider details
- NPI number
- 1639198633
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 168846 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-19
- Last updated
- 2012-09-05
Frequently asked questions
- What is Vicki Jetter's NPI number?
- Vicki Jetter's National Provider Identifier (NPI) is 1639198633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vicki Jetter's specialty?
- Vicki Jetter is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Vicki Jetter located?
- Vicki Jetter's practice location on file with NPPES is 860 Atlantic Ave, Baldwin Harbour, NY 11510.
- What is Vicki Jetter's phone number?
- The practice phone number listed in the NPPES registry for Vicki Jetter is (516) 868-6100.
- Does Vicki Jetter accept Medicare?
- Vicki Jetter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vicki Jetter's NPI active?
- Yes — Vicki Jetter's NPI (1639198633) is active in the NPPES registry as of the last update on 2012-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.