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

Stephanie Lynn Vickers, RN

Individual provider Family Nurse Practitioner · NPI 1265103394

Stephanie Lynn Vickers, RN is a Nurse Practitioner in Ravenswood, West Virginia. Qualified in 2021, 5 years ago. Practices with Wirt County Health Services Association, Inc, a 31-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
5
Licensed in
WV
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

606 Washington St
Ravenswood, WV 26164-1730
Phone: (304) 273-1033
Fax: (304) 273-1034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 110905 (WV)

Record details

NPI number1265103394
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wirt County Health Services Association, Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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