Averess Dean Rickerson, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G7575 Issued in TX

Practice address

8601 Village Dr
100
San Antonio, TX 78217-5509

Phone

(210) 646-7227

Fax

(210) 654-3575

NPI assigned

Jul 21, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Vicki Rickerson Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

University of California, San Diego School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

86.06

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: averess.rickerson.1@12000.direct.athenahealth.com

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.

• Averess Dean Rickerson

  dba A Vicki Rickerson

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1619131463
  Authorized official Same address or phone

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

• Advanced HH, LLC

  dba Advanced Home Health Services

  • Home Health Agency
  • Seguin, TX
  • NPI 1598701716
  Care Compare affiliation
• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1821018763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-646-7227",
            "fax_number": "210-654-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-646-7227",
            "fax_number": "210-654-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKERSON",
        "first_name": "AVERESS",
        "middle_name": "DEAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G7575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031773001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "RICKERSON",
            "middle_name": "VICKI",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nancy Ellen Richter, PT
• Paul Richter, D.O.
• Thomas C Richter, PT
• Heather Rickards, PHARMD
• Roy Clifford Ricker, D.MIN
• Stephanie Mariana Rickerson
• David Nathan Rickey, DDS
• Jared David Ricks
• Najalia Ricks
• Grecia Fernanda Rico Riberoll, MD

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.