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Active NPI 1164046702 Individual Practitioner Male Practitioner

Taylor Vickers , PA-C

Physician Assistant • Nampa, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Taylor Vickers, PA-C is a certified Physician Assistant practicing in Nampa, ID. With approximately 6 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2020, Taylor Vickers delivers high-quality medical care to the local community at 9850 W ST LUKES DR.

Taylor Vickers is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9850 W St Lukes Dr

Nampa, ID 836877912

Telephone 2082057282
Fax 2082057591
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nampa, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
96 Specialists

Practicing in Nampa, ID (1261 Statewide)

Telehealth Adoption Rate
13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vickers (6 Years) 6 Yrs
Nampa Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
15 15 $502.00 $176.05

Medical Specialties & State Licenses

CMS Verified: 2025-01-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID 4161079

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Emergency Medical Technician, Basic

NUCC Taxonomy Code: 146N00000X

State License TX 745200

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA13966

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License TX PA13966

Definition to come...

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

9850 W St Luke's Dr, Nampa, ID 836877912

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

190 E Bannock St, Boise, ID 837126241

Phone: 2083819384

St Lukes Clinic-Treasure Valley Llc

100 E Bannock St, Boise, ID 837126241

Phone: 2083812983

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

9580 W St Lukes Dr, Nampa, ID 836877912

Phone: 2085052711

St Lukes Clinic-Treasure Valley Llc

9850 St Lukes Dr, Nampa, ID 836877912

Secondary Practice Locations

6720 Bertner Ave

Houston, TX 770302604

Phone: 8323551000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Bonnie Hoewing , NP

Nurse Practitioner

NPI 1063879633

Nurse Practitioner

NPI 1104481555

Doctor of Medicine (M.D.)

Ciera Lund

Physician Assistant

NPI 1134798077
Gregory Romaniuk

Family Medicine

NPI 1144246729
NPI 1235371568

Doctor of Medicine (M.D.)

Dr. Courtney Swantek , MD

Internal Medicine

NPI 1497382709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 09, 2025

Registered at 9850 W ST LUKES DR, NAMPA, ID 836877912 (Tel: 2082057282)

📍
Updated Business Mailing Address January 09, 2025

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

📍
Updated Practice Location January 09, 2021

Registered at 6720 BERTNER AVE, HOUSTON, TX 770302604 (Tel: 8323551000)

📍
Updated Business Mailing Address January 09, 2021

Registered at 6720 BERTNER AVE, HOUSTON, TX 770302604 (Tel: 8323551000)

📍
Updated Business Mailing Address September 29, 2020

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775555302 (Tel: 4097721011)

👤
Provider Name / Credentials Updated September 29, 2020

Recorded as TAYLOR VICKERS, PA-C

NPI Profile Active May 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2020

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775555302 (Tel: 4097721011)

📍
Updated Business Mailing Address May 29, 2020

Registered at 1400 EL CAMINO VILLAGE DR APT 1907, HOUSTON, TX 770583062

👤
Provider Name / Credentials Updated May 29, 2020

Recorded as TAYLOR VICKERS, EMT-B

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2020

Emergency Medical Technician, Basic (License #745200 in TX)

🟢
Initial NPI Registration & Enumeration May 29, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164046702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2020
Last Update: January 09, 2025
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.