Active NPI
Nicole Ricker, FNP-C
- Nurse Practitioner
- Hainesport, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01178800
- Practice address
- 404 Creek Crossing Blvd
Hainesport, NJ 08036-2768 - Phone
- (609) 845-3988
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01178800 | NJ | Primary |
Addresses
Primary practice location
404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Mailing address
4101 Route 42
Blackwood, NJ 08012-1782
Phone (856) 516-4566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700
994 W Sherman Ave
BLDG 2
Vineland, NJ 08360-6937
Phone (631) 534-7846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01178800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulse Vascular, LLC | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients |
Locations
30 N Pearl St
Bridgeton, NJ 08302
715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
530 High St N
Millville, NJ 08332
Phone (856) 506-8556
785 W Sherman Ave
Vineland, NJ 08360
994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246
Interoperability endpoints
- nicole.ricker.p1@direct.cchn.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
-
- Vascular & Interventional Radiology Physician
- Vineland, NJ
- NPI 1255899704
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Millville, NJ
- NPI 1063715332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1053087437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 ROUTE 42",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080121782",
"telephone_number": "856-516-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 CREEK CROSSING BLVD",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362768",
"telephone_number": "609-845-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKER",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01178800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hainesport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.