Jace James Rickstrew, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

04-48669 Issued in KS

Practice address

4201 Anderson Ave Ste F
Manhattan, KS 66503-7603

Phone

(785) 539-4645

Fax

(785) 539-1655

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, KS2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Kansas School of Med (KC/Wich/Sal), 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Dermatology and Skin Cancer Center, PAGroup PAC ID 1951388289, 31 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrickstrew@heartlandderm.emadirect.md

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.

• Heartland Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Salina, KS
  • NPI 1538135207
  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  Medicare reassignment NPD
• Manhattan Dermatology, PA

  • Medical Specialty Clinic/Center
  • Manhattan, KS
  • NPI 1356588503
  NPD
• Scott E Manthei PC LTD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Henderson, NV
  • NPI 1194724237
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1992209472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE STE F",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037603",
            "telephone_number": "785-539-4645",
            "fax_number": "785-539-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Elmhurst Blvd",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674017406",
            "country_code": "US",
            "telephone_number": "785-827-2500",
            "fax_number": "785-827-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKSTREW",
        "first_name": "JACE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "04-48669",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-48669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Thomas Reynolds, MD
• Cory Ranae Richards, MFT
• Vivian Amaya Richardson
• Rick Johnson, D.O., P.a.
• Rebekah R Ricketts, RN
• Kelsi Rietcheck
• Ronald Riley
• James E Rincon, BS, LAC
• Evan Riordan, PHARM D
• Trista Risser, LPC

• Dermatology Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.