Chad Randal Vickers
PMHNP | Nurse Practitioner - Family | 14+ years Exp
135 Colorado Street East, Saint Paul
Minnesota, 55107
651-489-7740
Chad Randal Vickers is a Saint Paul, Minnesota based nurse practitioner with 14 years of experience in Family. He completed his graduation in 2011. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Chad Randal Vickers is 6371 for Psych/Mental Health in Minnesota. His current practice location is 135 Colorado Street East, Saint Paul. Patients can reach him at 651-489-7740 or can fax him at 651-489-6458. Chad Randal Vickers is PMHNP with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1780753681.
Chad Randal Vickers delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Chad Randal Vickers speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Chad Randal Vickers |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Male |
| Credentials: | PMHNP |
| Experience: | 14+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2011 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 135 Colorado Street East, Saint Paul,
Minnesota, 55107 |
| Phone: | 651-489-7740 |
| Fax: | 651-489-6458 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2567555311 |
| Enrollment ID: | I20190220000002 |
| NPI Number: | 1780753681 |
| NPI Enumeration Date: | 06 Nov, 2006 |
| NPI Last Update On: | 22 Apr, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chad Randal Vickers are as mentioned below.
| License Number | Specialization | State | Status | |
| 6371 | Psych/Mental Health | Minnesota | Primary | |
| 706002 | Family | Texas | Secondary | |
| 706002 | Psych/Mental Health | Texas | Secondary | |
| L8-0000171 | Psych/Mental Health | Delaware | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Chad Randal Vickers is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Westside Family Healthcare, Inc. (6800706599) | 38 |
| Woodland Centers (7416860457) | 18 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Chad Randal Vickers such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200101760A | Medicaid | Oklahoma | |
| P01078815 | Other | Texas | RAILROAD MEDICARE |
| 1780753681 | Medicaid | Minnesota | |
| 182997003 | Medicaid | Texas | |
| 868N62 | Other | Texas | BCBS |
| 182997001 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Chad Randal Vickers
135 Colorado Street East,
Saint Paul, Minnesota |
| Zip: | 55107 |
| Phone Number: | 651-489-7740 |
| Fax Number: | 651-489-6458 |
Patients can reach Chad Randal Vickers at
135 Colorado Street East, Saint Paul, Minnesota or can
call to book an appointment on 651-489-7740.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.