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

Mrs. Angela Marie Vickroy, ANP

Individual provider Nurse Practitioner · NPI 1194060681

Mrs. Angela Marie Vickroy, ANP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2012, 14 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2012
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Practice location Address checks out

4500 Forest Park Ave Div Im Bone Marrow Transplant 5th 6th 8th Fl
Saint Louis, MO 63108-2114
Phone: (314) 454-8304
Fax: (314) 454-5902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2012040816 (MO)

Record details

NPI number1194060681
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedDecember 10, 2012
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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