Audra C Ricica, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28188589A Issued in IN

Practice address

5050 N Clinton St
Fort Wayne, IN 46825-5886

Phone

(260) 484-8551

Fax

(260) 482-5060

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgery One Anesthesia LLCGroup PAC ID 8820351463, 32 clinicians

Wood County Hospital Assn.Group PAC ID 4284653650, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Surgery One Anesthesia, LLC

  • Anesthesiology Physician
  • Fort Wayne, IN
  • NPI 1144724402
  Medicare reassignment Care Compare group NPD
• Wood County Hospital Assn.

  • Certified Registered Nurse Anesthetist
  • Bowling Green, OH
  • NPI 1790955268

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Amsurg Toledo Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
  • NPI 1053686071

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lima Memorial Professional Corporation

  • Specialist
  • Lima, OH
  • NPI 1457474900
  Medicare reassignment NPD
• Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1972775013

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Associated Anesthesiologists of Toledo, Inc

  • Specialist
  • Toledo, OH
  • NPI 1871544312
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Wood Anesthesia & Pain Treatment, LLC

  • Anesthesiology Physician
  • Bowling Green, OH
  • NPI 1073795886
  NPD (past)

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

• Wood County Hospital Assn

  • General Acute Care Hospital
  • Bowling Green, OH
  • NPI 1790751253
  Care Compare affiliation

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1790769099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255822",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255886",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICICA",
        "first_name": "AUDRA",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-252552",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28188589A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "430069360",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200979940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000208046",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210333",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Richeson, MSW LCSW ACSW
• Carolyn Rene Richie, RD, CD
• Erin M. Richmond, NP
• Holly D Richter Hardin, MD
• Mary Catherine Richter
• Jennifer Sluszka Rickard, LSW
• Joshua Ricker
• Hanah Ricketts
• Breanna Rose Rickey, DPT
• Robert Todd Rickman, MD

• Certified Registered Nurse Anesthetist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.