ANDREA L RICKARD (APRN, BC) – Family Nurse Practitioner, NPI 1578757159

ANDREA L RICKARD (APRN, BC) is a healthcare provider. based in Lisbon, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, BC. They hold a License No. 003665 (CT). The NPI Number for ANDREA L RICKARD (APRN, BC) is 1578757159

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA L RICKARD (APRN, BC)
NPI
1578757159
Phone
(860) 859-9880
Address
72 AMES RD
Enumeration Date
28 August 2007
Last Update Date
21 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608898331
Graduation Year
2007 (19 years ago)
PAC ID
2365531936
Group Practice PAC ID
0749170645
Professional Enrollment ID
I20071204000730
Address ID
CT063602740NO326XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for ANDREA L RICKARD (APRN, BC)

  • 72, Ames Road, Lisbon, New London County, Connecticut, 06351, United States

    LISBON, CT 063513001

    Phone: (860) 859-9880

    Type: Mailing

  • Backus Hospital, 326, Washington Street, Norwichtown Historic District, Norwich, New London County, Connecticut, 06360, United States

    NORWICH, CT 063602740

    Phone: (860) 889-8331

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071204000730INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making10098$0
99285Emergency department visit with high level of medical decision making9390$0
99283Emergency department visit with low level of medical decision making2624$0
View full utilization report →

Insurance plans in this area (ZIP 06351)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749170645View full group profile
NameSpecialtyState
Nurse PractitionerCT
Emergency MedicineRI
P S Y C H I A T R YMA
Hematology/Oncology, Medical OncologyNJ
Physician AssistantME
Hospitalist, Internal MedicineNY
Physician AssistantCT
Physician AssistantGA
Internal MedicineCT
Physician AssistantRI

Reviews

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Frequently asked questions

How is ANDREA L RICKARD (APRN, BC) identified in CMS data?
CMS-hosted NPPES data lists ANDREA L RICKARD (APRN, BC) with NPI 1578757159.
Can I rely on ANDREA L RICKARD (APRN, BC) being an active provider?
As of the registry snapshot, ANDREA L RICKARD (APRN, BC) is marked active.
What is ANDREA L RICKARD (APRN, BC) best known for clinically?
Directory data describes ANDREA L RICKARD (APRN, BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANDREA L RICKARD (APRN, BC) based?
ANDREA L RICKARD (APRN, BC) is tied to Lisbon, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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