Individual provider Active NPI

Amanda Ricker, FNP

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1790917581
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005569 Issued in NC
Practice address
1809 Glen Meade Rd
Wilmington, NC 28403-6022
Phone
(910) 763-9833
NPI assigned
Aug 13, 2009
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005569 NC Primary

Addresses

Primary practice location

1809 Glen Meade Rd
Wilmington, NC 28403-6022

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 763-9833

Other practice location 1

1721 Allens Ln
Ste 100
Wilmington, NC 28403-3661
Phone (910) 344-8900

Other practice location 2

1333 S Dickinson Dr
Suite 110
Leland, NC 28451-6430
Phone (910) 399-6543

Other practice location 3

510 Carolina Bay Dr
Suite 100
Wilmington, NC 28403-2041
Phone (910) 338-0795

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address aricker61351@direct.nhrmc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120523000006 NC Practitioner - Nurse Practitioner 8527221928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005569NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

1333 S Dickinson Dr
Unit 110
Leland, NC 28451
Phone (910) 399-6543

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1721 Allens Ln
Ste 100
Wilmington, NC 28403
Phone (910) 344-8900

1809 Glen Meade Rd
Wilmington, NC 28403
Phone (910) 763-9833

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

510 Carolina Bay Dr
Ste 100
Wilmington, NC 28403
Phone (910) 338-0795

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1790917581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-763-9833",
            "fax_number": "910-763-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 GLEN MEADE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036022",
            "telephone_number": "910-763-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Allens Ln",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284033661",
            "country_code": "US",
            "telephone_number": "910-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 S Dickinson Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284516430",
            "country_code": "US",
            "telephone_number": "910-399-6543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Carolina Bay Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032041",
            "country_code": "US",
            "telephone_number": "910-338-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKER",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1809 Glen Meade Rd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aricker61351@direct.nhrmc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1809 Glen Meade Rd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.