NICOLE ANNMARIE RICCARDI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1780923995

NICOLE ANNMARIE RICCARDI (CRNA) is a healthcare provider. based in Jacksonville beach, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN9306864 (FL). The NPI Number for NICOLE ANNMARIE RICCARDI (CRNA) is 1780923995

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ANNMARIE RICCARDI (CRNA)
NPI
1780923995
Phone
(678) 549-8962
Address
142 29TH AVE S
Enumeration Date
7 February 2013
Last Update Date
7 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048544854
Graduation Year
2012 (14 years ago)
PAC ID
6305081019
Group Practice PAC ID
9436392438
Professional Enrollment ID
I20130401000167
Address ID
FL322168713JA7051XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for NICOLE ANNMARIE RICCARDI (CRNA)

  • 142 29TH AVE S

    JACKSONVILLE BEACH, FL 322506016

    Phone: (678) 549-8962

    Mailing address matches the actual address.

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: 2013-04-01

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
I20130401000167ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00142Anesthesia for lens surgery163157$0
00103Anesthesia for procedure on eyelid101101$0
00140Anesthesia for other procedure on eye4747$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back2626$0
00145Anesthesia for retinal surgery2222$0
View full utilization report →

Insurance plans in this area (ZIP 32250)

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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: 9436392438View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How do I look up NICOLE ANNMARIE RICCARDI (CRNA) by NPI?
Use NPI 1780923995 when you need to reference NICOLE ANNMARIE RICCARDI (CRNA) in forms, claims, or directories.
Is NICOLE ANNMARIE RICCARDI (CRNA) active in the national directory?
NICOLE ANNMARIE RICCARDI (CRNA)'s public NPI profile is in an active state.
Can you summarize NICOLE ANNMARIE RICCARDI (CRNA)'s specialty in plain language?
Clinically, the directory lists NICOLE ANNMARIE RICCARDI (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is NICOLE ANNMARIE RICCARDI (CRNA)'s primary listing?
We display Jacksonville Beach, Florida because that is what the record indicates for NICOLE ANNMARIE RICCARDI (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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