MRS. NICOLE RICKER (FNP-C) – Nurse Practitioner, NPI 1053087437

MRS. NICOLE RICKER (FNP-C) is a healthcare provider. based in Blackwood, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 26NJ01178800 (NJ). The NPI Number for MRS. NICOLE RICKER (FNP-C) is 1053087437

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE RICKER (FNP-C)
NPI
1053087437
Phone
(856) 516-4566
Address
4101 ROUTE 42
Enumeration Date
17 August 2021
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
85645147002755
Graduation Year
2021 (5 years ago)
PAC ID
9436557501
Group Practice PAC ID
9335040419
Professional Enrollment ID
I20211005001221
Address ID
NJ080281403GL335XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MRS. NICOLE RICKER (FNP-C)

  • 4101 ROUTE 42

    BLACKWOOD, NJ 080121782

    Phone: (856) 516-4566

    Type: Mailing

  • 404 CREEK CROSSING BLVD

    HAINESPORT, NJ 080362768

    Phone: (609) 845-3988

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 80 Open Payments records for all available years, with a total value of $1,251.

Total Amount is formed as General ($1,251) + Research ($0) + Ownership ($0) = $1,251.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($406).

Total Amount

$1,251

General + Research + Ownership

Payments

80

Total payment records

General Amount

$1,251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-05

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
I20211005001221INurse PractitionerNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes17793$0
99214Established patient office or other outpatient visit, 30-39 minutes15883$0
View full utilization report →

Insurance plans in this area (ZIP 08012)

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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: 9335040419View full group profile
NameSpecialtyState
H O S P I T A L I S TNJ
Internal MedicinePA
Internal MedicineNJ
Internal MedicineNJ
-NJ
Internal Medicine, HospitalistNJ
Internal MedicinePA
H O S P I T A L I S TPA
Internal Medicine, HospitalistNJ
Internal MedicineNJ

Reviews

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Frequently asked questions

What number should I use to identify MRS. NICOLE RICKER (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1053087437 for MRS. NICOLE RICKER (FNP-C).
Is MRS. NICOLE RICKER (FNP-C)'s NPI status active today?
Active status means MRS. NICOLE RICKER (FNP-C)'s NPI record is not deactivated in the public file.
Which specialty label fits MRS. NICOLE RICKER (FNP-C)?
NPPES ties MRS. NICOLE RICKER (FNP-C) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. NICOLE RICKER (FNP-C)?
The directory associates MRS. NICOLE RICKER (FNP-C) with Blackwood, New Jersey. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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