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

Individual provider Certified Registered Nurse Anesthetist · NPI 1023387230

Kenneth Vickers Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Waco, Texas. Qualified in 2011, 15 years ago. Practices with U S Anesthesia Partners of Texas, PA, a 2,747-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone: (254) 230-1509
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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 AP121629 (TX)

Record details

NPI number1023387230
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 16, 2011
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice U S Anesthesia Partners Of Texas, Pa — 2747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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