Individual provider Active NPI

Mari A Ricker, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1477500049
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD25245 Issued in OR
Practice address
707 N Alvernon Way
Suite 101
Tucson, AZ 85711-1827
Phone
(520) 694-8888
Fax
(520) 694-1640
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X MD25245 AZ
Family Medicine Physician 207Q00000X MD25245 OR Primary

Addresses

Primary practice location

707 N Alvernon Way
Suite 101
Tucson, AZ 85711-1827

Mailing address

PO Box 245052
Tucson, AZ 85724-5052
Phone (520) 626-5914

Other identifiers 3

IdentifierTypeStateIssuer
P00604911OtherORRR MEDICARE
49518OtherAZMEDICAL LICENSE
023146MedicaidOR

Other names 1

  • Mari Anouska Walsh Former name

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
I20141024000812 AZ Practitioner - Family Practice 6608819313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

2800 E Ajo Way
Tucson, AZ 85713-6204

707 N Alvernon Way
Tucson, AZ 85711-1847

707 N Alvernon Way
Suite 101
Tucson, AZ 85711-1830
Phone (520) 694-1611

Hospital & facility affiliations

  • Banner Home Care Home health agency, Tucson, AZ, CCN 037282
  • Banner-University Medical Center South Campus Hospital, Tucson, AZ, CCN 030111
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25245AZMDIntegrative Medicine Physician
MD25245ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Family Medicine CurrentSince Sep 2, 2014 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Sep 2, 2014 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
B--Umg Integrated Health Clinic, LLC CurrentSince Jul 26, 2017 Accepting new patients

Locations

707 N Alvernon Way
Ste 201
Tucson, AZ 85711
Phone (520) 694-1725

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6860 E Sunrise Dr
Ste 100
Tucson, AZ 85750
Phone (520) 404-8710

3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

707 N Alvernon Way
Ste 10
Tucson, AZ 85711

707 N Alvernon Way
Ste 101
Tucson, AZ 85711
Phone (520) 694-1611

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Interoperability endpoints

  • Direct secure messaging: mricker27448@elrio.direct.ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1477500049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245052",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245052",
            "telephone_number": "520-626-5914",
            "fax_number": "520-626-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111827",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKER",
        "first_name": "MARI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "AZ",
            "license": "MD25245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD25245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00604911",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "49518",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023146",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARI",
            "last_name": "WALSH",
            "middle_name": "ANOUSKA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.