Individual provider Active NPI

Elaina Noel Ricci, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1194785089
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02436 Issued in TX
Practice address
7777 Forest LN
Suite C-755
Dallas, TX 75230-2584
Phone
(972) 566-2600
Fax
(972) 566-2121
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02436 TX Primary

Addresses

Primary practice location

7777 Forest LN
Suite C-755
Dallas, TX 75230-2584

Mailing address

7777 Forest LN
Suite C-755
Dallas, TX 75230-2584
Phone (972) 566-2600

Other identifiers 1

IdentifierTypeStateIssuer
8N8201OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241002002612 TX Practitioner - Physician Assistant 5890084339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Physicians of Dallas PAGroup PAC ID 7416976725, 5 clinicians

Practice addresses (Care Compare)

3465 National Dr
Suite 205
Plano, TX 75025-1095
Phone (972) 249-2138

7777 Forest LN
Suite C755
Dallas, TX 75230-6862
Phone (972) 566-2600

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
73.59
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
02436TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Physicians of Denton, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elaina.ricci@dpod.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1194785089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302584",
            "telephone_number": "972-566-2600",
            "fax_number": "972-566-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302584",
            "telephone_number": "972-566-2600",
            "fax_number": "972-566-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "ELAINA",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8N8201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.