Keisha Vickman
Nurse Practitioner | 5+ years Exp
835 S Van Buren St, Green Bay
Wisconsin, 54301-3526
920-433-0111
Keisha Vickman is a Green Bay, Wisconsin based nurse practitioner with 5 years of experience in . She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Keisha Vickman is 10477 in Wisconsin. Her current practice location is 835 S Van Buren St, Green Bay. Patients can reach her at 920-433-0111 and her NPI number (Unique professional ID assigned by NPPES) is 1114526530.
Keisha Vickman has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Keisha Vickman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Keisha Vickman |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 835 S Van Buren St, Green Bay,
Wisconsin, 54301-3526 |
| Phone: | 920-433-0111 |
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: | 7315359049 |
| Enrollment ID: | I20201222000111 |
| NPI Number: | 1114526530 |
| NPI Enumeration Date: | 19 Oct, 2020 |
| NPI Last Update On: | 19 Oct, 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 Keisha Vickman are as mentioned below.
| License Number | Specialization | State | Status | |
| 10477 | | Wisconsin | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (520075) | Green bay, WI | Acute Care Hospital |
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 Keisha Vickman is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| St Vincent Hospital-hospital Sisters-third Order Of St Francis (5799694675) | 528 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Keisha Vickman
835 S Van Buren St,
Green Bay, Wisconsin |
| Zip: | 54301-3526 |
| Phone Number: | 920-433-0111 |
Patients can reach Keisha Vickman at
835 S Van Buren St, Green Bay, Wisconsin or can
call to book an appointment on 920-433-0111.
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.