Individual provider Active NPI

Sherry Lillian Rickan, FNP-C

  • Family Medicine Physician
  • Gardner, MA
National Provider Identifier
1093426934
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F05220260 Issued in MA
Practice address
242 Green St
Gardner, MA 01440-1336
Phone
(978) 630-5050
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F05220260 MA Primary

Addresses

Primary practice location

242 Green St
Gardner, MA 01440-1336

Mailing address

80 Riley Switch Rd
Phillipston, MA 01331-9498
Phone (508) 574-5993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419000807 MA Practitioner - Nurse Practitioner 7214376516 Reassigns benefits to 3 organizations

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
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Hospital & facility affiliations

  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05220260MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital Family Medicine CurrentSince Feb 12, 2024 Accepting new patients
Heywood Medical Group Inc. Family Medicine CurrentSince Feb 12, 2024 Accepting new patients
Athol Memorial Hospital Incorporated Family Medicine CurrentSince Feb 12, 2024 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Feb 12, 2024 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

242 Green St
Ste 107
Gardner, MA 01440
Phone (978) 630-5050

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

Interoperability endpoints

  • Direct secure messaging: sherry.rickan.1@192.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1093426934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RILEY SWITCH RD",
            "city": "PHILLIPSTON",
            "state": "MA",
            "postal_code": "013319498",
            "telephone_number": "508-574-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336",
            "telephone_number": "978-630-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKAN",
        "first_name": "SHERRY",
        "middle_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "F05220260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.