Active NPI
Michelle L Ricker, PAC
- Physician Assistant
- Belchertown, MA
National Provider Identifier
1659424869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1542
- Practice address
- 24 Jasons Way
Belchertown, MA 01007 - Phone
- (413) 213-0507
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1542 | MA | Primary |
| Medical Physician Assistant | 363AM0700X | 742 | CT |
Addresses
Primary practice location
24 Jasons Way
Belchertown, MA 01007
Mailing address
24 Jasons Way
Belchertown, MA 01007
Phone (413) 213-0507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742 | CT | MD | Naturopath |
| 1542 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1659424869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 JASONS WAY",
"city": "BELCHERTOWN",
"state": "MA",
"postal_code": "01007",
"telephone_number": "413-213-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 JASONS WAY",
"city": "BELCHERTOWN",
"state": "MA",
"postal_code": "01007",
"telephone_number": "413-213-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKER",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1542",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "742",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belchertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.