NPIMap

Individual provider Active NPI

Nicole Diane Rickard, DNP, FNP-C

  • Family Nurse Practitioner
  • West Grove, PA
National Provider Identifier
1447847835
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022774 Issued in PA
Practice address
1011 W Baltimore Pike Ste 304
West Grove, PA 19390-9448
Phone
(610) 869-1278
Fax
(610) 869-2312
NPI assigned
Dec 31, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022774 PA Primary
Registered Nurse 163W00000X RN675705 PA

Addresses

Primary practice location

1011 W Baltimore Pike Ste 304
West Grove, PA 19390-9448

Mailing address

1011 W Baltimore Pike Ste 304
West Grove, PA 19390-9448
Phone (610) 869-1278

Other names 1

  • Nicole Diane Rickard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210204002256 PA Practitioner - Nurse Practitioner 1153735030 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

390 Vineyard Way
Suite 501
West Grove, PA 19390-8836
Phone (610) 869-0953

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN675705PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Grove Clinic Company LLC CurrentSince Feb 28, 2021 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 6, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 6, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 3, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 3, 2022 Accepting new patients
West Grove Clinic Company LLC Current Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Pennsylvania Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

721 E Baltimore Pike
Kennett Square, PA 19348
Phone (302) 661-3374

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1011 W Baltimore Pike
Ste 304
West Grove, PA 19390
Phone (610) 869-1278

390 Vineyard Way
Ste 501
West Grove, PA 19390
Phone (610) 869-0953

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

Organizations & group practices 10

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 8

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": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1447847835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W BALTIMORE PIKE STE 304",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909448",
            "telephone_number": "610-869-1278",
            "fax_number": "610-869-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BALTIMORE PIKE STE 304",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909448",
            "telephone_number": "610-869-1278",
            "fax_number": "610-869-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "NICOLE",
        "middle_name": "DIANE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022774",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN675705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RICKARD",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.