Stacy Kit Rickerd, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

255641 Issued in AZ

Practice address

1667 N Trekell Rd Ste 103
Casa Grande, AZ 85122-2731

Phone

(520) 876-5833

NPI assigned

Sep 26, 2020

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

University of Arizona College of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: stacy.johnscaligiuri.p1@direct.cpi.nextgenshare.com

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.

• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1346620358
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Yuma, AZ
  • NPI 1457459091
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1669897385
  NPD
• Intermountain Health Center Inc

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1609245273
  NPD
• Pinal Hispanic Council

  • Multi-Specialty Clinic/Center
  • Eloy, AZ
  • NPI 1235271404
  NPD
• Behavioral Consultation Services, Inc.

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1629432380
  NPD (past)
• Mental Health Resources Inc

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1164131140
  NPD (past)
• Mental Health Resources Inc

  dba Housing Assistance for Arizona

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1346959277
  NPD (past)
• Rio Salado Behavioral Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1962548388
  NPD (past)

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1275140972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145309",
            "telephone_number": "602-604-0000",
            "fax_number": "602-604-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 N TREKELL RD STE 103",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222731",
            "telephone_number": "520-876-5833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Osborn Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850145309",
            "country_code": "US",
            "telephone_number": "602-615-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKERD",
        "first_name": "STACY",
        "middle_name": "KIT",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "255641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSBN",
            "identifier": "23355143",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE BOARD OF NURSING",
            "identifier": "255641",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Reyes
• Lindsey Rhett
• James C. Rhiddlehoover
• Matthew Alan Rhodes, O.D.
• Erin Renee Rice, SLP-M.S.ED
• Linda Lee Riggins, BSN
• Rightway Healthcare LLC
• Larkin Lee Riley, NBC-HWC
• Nephi Wesley Riordan, D.C.
• RMD Medical LLC (Your Allergy Clinic)

• Psychiatric/Mental Health Nurse Practitioner in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.

Verify at the official NPI Registry.