Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Patrick Vickers

Individual provider Certified Registered Nurse Anesthetist · NPI 1730652108

Evan Patrick Vickers is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with Sunshine State Anesthesia Partners LLC, a 433-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11000865 (FL)

Record details

NPI number1730652108
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJanuary 8, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sunshine State Anesthesia Partners Llc — 433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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