Individual provider Active NPI

Nicki D Rippeteau, M.D.

  • Anesthesiology Physician
  • Belton, MO
National Provider Identifier
1235579749
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
50707 Issued in AZ
Practice address
4606 E 184TH St
Belton, MO 64012-8323
Phone
(806) 674-8222
NPI assigned
Jun 28, 2013
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 50707 AZ
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 50707 AZ
Anesthesiology Physician 207L00000X 50707 AZ Primary

Addresses

Primary practice location

4606 E 184TH St
Belton, MO 64012-8323

Mailing address

4606 E 184TH St
Belton, MO 64012-8323
Phone (806) 674-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101000568 AZ Practitioner - Anesthesiology 3476527961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
50707AZMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mojave Complete Recovery PLLC Addiction Medicine CurrentSince Nov 20, 2025 Accepting new patients
Central Oklahoma Anesthesia & Pain Management Services PC Pain Medicine PastSince Sep 5, 2010 Accepting new patients

Locations

1010 E McDowell Rd
Ste 410
Phoenix, AZ 85006
Phone (480) 818-9078

Interoperability endpoints

  • Direct secure messaging: nicki.rippeteau.1@33482.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1235579749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E 184TH ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640128323",
            "telephone_number": "806-674-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E 184TH ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640128323",
            "telephone_number": "806-674-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPETEAU",
        "first_name": "NICKI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "50707",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "50707",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "50707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.