Carolyn Marie Ricketts, MSN, CNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0029463 Issued in OH

Practice address

388 Damascus Rd
Marysville, OH 43040-5535

Phone

(937) 578-4040

Fax

(937) 578-2602

NPI assigned

Aug 20, 2021

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

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union County Physician CorporationGroup PAC ID 1557419173, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Marysville, OH, CCN 360092

Merit-based Incentive Payment System (MIPS)

Final score

83.33 of 100Reported as group

Quality

68.93

Promoting interoperability

100

Improvement activities

40

Cost

75.49

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAAAAA
• Direct secure messaging: cricketts1172667@direct.osumc.edu

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.

• Union County Physician Corporation

  • Otolaryngology Physician
  • Marysville, OH
  • NPI 1992941108
  Medicare reassignment Care Compare group NPD
• Maple Leaf Family and Sports Medicine, LLC

  • Family Medicine Physician
  • Bellefontaine, OH
  • NPI 1447328067
  Medicare reassignment NPD
• Union County Physician Corporation

  • Occupational Medicine Physician
  • Marysville, OH
  • NPI 1497300172
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Memorial Hospital of Union County

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338
  Care Compare affiliation

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1316613276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 DAMASCUS RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405535",
            "telephone_number": "937-578-4040",
            "fax_number": "937-578-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 DAMASCUS RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405535",
            "telephone_number": "937-578-4040",
            "fax_number": "937-578-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Reuss, M.D.
• Anne Louise Rice, RD
• Cole Anthony Rice, LSW
• Jessica Rice
• Danielle Richardson
• Janell L Riesen, RD, LD
• Kathleen Riley, O.T.
• Krista L Rioch, D.D.S.
• Trenton Risner
• Rite Aid of Ohio Inc

• Family Nurse Practitioner in Marysville, OH
• Providers in Marysville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.