Individual provider Active NPI

Stephen Ricks Jr., FNP

  • Family Nurse Practitioner
  • Angleton, TX
National Provider Identifier
1992254726
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132028 Issued in TX
Practice address
732 E. Henderson Rd
Angleton, TX 77515
Phone
(979) 248-1586
Fax
(979) 318-5594
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132028 TX Primary

Addresses

Primary practice location

732 E. Henderson Rd
Angleton, TX 77515

Mailing address

732 E. Henderson Rd
Angleton, TX 77515
Phone (979) 248-1586

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109002041 TX Practitioner - Nurse Practitioner 2668753567 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

732 E Henderson Rd
Angleton, TX 77515-4013
Phone (979) 308-4102

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palacios Community Medical Center CurrentSince Jun 1, 2017 Accepting new patients
Palacios Community Medical Center CurrentSince Jun 1, 2017 Accepting new patients
Oleander Emergency Medicine Associates PA CurrentSince Feb 27, 2019 Accepting new patients
Covenant Mobile Healthcare LLC Family CurrentSince Nov 13, 2019 Accepting new patients
Concord Medical Group PLLC CurrentSince Nov 23, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 23, 2018 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations

732 E Henderson Rd
Angleton, TX 77515
Phone (979) 248-1586

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

638 Harbor Dr
Liverpool, TX 77577
Phone (979) 248-1586

311 Green Ave
Palacios, TX 77465
Phone (361) 972-2511

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1992254726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 E. HENDERSON RD",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "77515",
            "telephone_number": "979-248-1586",
            "fax_number": "979-318-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 E. HENDERSON RD",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "77515",
            "telephone_number": "979-248-1586",
            "fax_number": "979-318-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.