NPIMap

Individual provider Active NPI

Nancy M Rickerhauser, M.D.

  • Family Medicine Physician
  • Comfort, TX
National Provider Identifier
1245225135
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1868 Issued in TX
Practice address
815 Front St
Comfort, TX 78013-0156
Phone
(830) 995-5633
Fax
(830) 997-7601
NPI assigned
Sep 16, 2005
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 K1868 TX Primary

Addresses

Primary practice location

815 Front St
Comfort, TX 78013-0156

Mailing address

815 Front St
Comfort, TX 78013-2348
Phone (830) 997-0330

Other practice location 1

514 W Windcrest St
Fredericksburg, TX 78624-4633
Phone (830) 997-0330

Other identifiers 2

IdentifierTypeStateIssuer
117545704MedicaidTX
8AQ215OtherTXBCBSTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000477 TX Practitioner - Family Practice 5395805915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

815 Front St
Comfort, TX 78013-2626
Phone (830) 995-5633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Family Clinic PA Family Medicine CurrentSince Aug 28, 2022 Accepting new patients
Fredericksburg Family Clinic PA Family Medicine CurrentSince Sep 2, 2008 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nancy.rickerhauser@cornerstone.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1245225135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FRONT ST",
            "city": "COMFORT",
            "state": "TX",
            "postal_code": "780132348",
            "telephone_number": "830-997-0330",
            "fax_number": "830-997-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FRONT ST",
            "city": "COMFORT",
            "state": "TX",
            "postal_code": "780130156",
            "telephone_number": "830-995-5633",
            "fax_number": "830-997-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 W Windcrest St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786244633",
            "country_code": "US",
            "telephone_number": "830-997-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKERHAUSER",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-04-09",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117545704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8AQ215",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Comfort, TX

Sources for this page

Verify at the official NPI Registry.