Keisha Vickman
Nurse Practitioner · Green Bay, WI
Keisha Vickman is a nurse practitioner with a practice address in Green Bay, Wisconsin, and NPI 1114526530, issued on Oct 19, 2020. Check the license (Wisconsin 10477, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Keisha Vickman
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- 10477 WI
Self-reported in NPPES; status is on the state search - Practice location
- 835 S Van Buren St, Green Bay, WI 54301
- Phone
- (920) 433-0111
- Enumerated
- Oct 19, 2020
- Record last updated
- Oct 19, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20201222000111); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 3,995 in Wisconsin → Look up another NPI →
Also registered at 835 S Van Buren St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Zaheer Akhtar, DOHospitalist Physician1366002966
- Richard Amankwah, MDHospitalist Physician1164712741
- Joel Ament, MDPediatric Critical Care Medicine Physician1861425456
Verify Keisha Vickman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 10477Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 94.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- St Vincent Hospital-Hospital Sisters-Third Order OF St FrancisGreen Bay, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Keisha Vickman among 3,995 nurse practitioner records in Wisconsin
Keisha Vickman is one of 3,995 nurse practitioner records with a practice address in Wisconsin. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 70% of them.
- NPI issued2020 · 70% of these records are older, 26% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2020 · median 2017 among the 2,701 with a school on file
- Record last updated2020 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
217 nurse practitioner records list a practice address in Green Bay
They are 217 of the 4,619 NPPES records with a practice address in Green Bay, and 3,995 nurse practitioner records in Wisconsin.
All 3,995 in Wisconsin → Every provider in Green Bay → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Tamara Baldwin, APNPGreen Bay, WI 543011518942937
- Louise Berndt, FNP CGreen Bay, WI 543011033106430
- Jane Charnetski, FNPGreen Bay, WI 543011053423392
- Katie Hampton, NPGreen Bay, WI 543011073560314
- David Kohls, APNPGreen Bay, WI 543011225051345
- Dawn Nissen, APNPGreen Bay, WI 543011487676979
- Patricia Polfus, NPGreen Bay, WI 543011144204082
- Kristine Schaeuble, NPGreen Bay, WI 543011306094339
Common questions
What is Keisha Vickman's NPI number?
Keisha Vickman's National Provider Identifier (NPI) is 1114526530, issued on Oct 19, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Keisha Vickman located?
The NPPES record lists a practice address at 835 S Van Buren St, Green Bay, WI, 54301. Phone: (920) 433-0111. Providers update this record themselves, so call before visiting.
How can I verify Keisha Vickman's license?
NPPES lists Wisconsin license number 10477, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
What is Keisha Vickman's MIPS final score?
The 2023 MIPS final score is 94.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.