REECE NATHANIEL RICKERTSEN (DPM) – Podiatrist, NPI 1790207496

REECE NATHANIEL RICKERTSEN (DPM) is a healthcare provider. based in Gallatin, Tennessee. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 0442 (TN). The NPI Number for REECE NATHANIEL RICKERTSEN (DPM) is 1790207496

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
REECE NATHANIEL RICKERTSEN (DPM)
NPI
1790207496
Phone
(615) 452-8899
Address
336 SUMNER HALL DR
Enumeration Date
13 July 2017
Last Update Date
8 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6158677925
Graduation Year
2017 (9 years ago)
PAC ID
5092089771
Group Practice PAC ID
4789589227
Professional Enrollment ID
I20200910003464
Address ID
TN371292598MU1272XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

231 PODIATRY in TN

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Provider Addresses for REECE NATHANIEL RICKERTSEN (DPM)

  • 336, Sumner Hall Drive, Gallatin, Sumner County, Tennessee, 37066, United States

    GALLATIN, TN 370663129

    Phone: (615) 452-8899

    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)

CMS reports 64 Open Payments records for all available years, with a total value of $2,722.

Total Amount is formed as General ($2,722) + Research ($0) + Ownership ($0) = $2,722.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alpha Orthopedic Systems ($831).

Total Amount

$2,722

General + Research + Ownership

Payments

64

Total payment records

General Amount

$2,722

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-10

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
I20200910003464IPodiatryTNTBD

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 minutes335194$0
J1100Injection, dexamethasone sodium phosphate, 1 mg31127$0
11721Removal of fingernails or toenails, 6 or more nails270112$0
73630X-ray of foot, minimum of 3 views217119$0
99203New patient office or other outpatient visit, 30-44 minutes208208$0
View full utilization report →

Insurance plans in this area (ZIP 37066)

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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: 4789589227View full group profile
NameSpecialtyState
Family PracticeTN
Physician AssistantTN
Nurse PractitionerTN
Internal MedicineTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Physical Medicine And Rehabilitation, Interventional Pain ManagementTN

Reviews

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Frequently asked questions

Can I use this page to confirm REECE NATHANIEL RICKERTSEN (DPM)'s NPI?
Yes. REECE NATHANIEL RICKERTSEN (DPM) is listed with NPI 1790207496 in the public NPI dataset.
Can I rely on REECE NATHANIEL RICKERTSEN (DPM) being an active provider?
As of the registry snapshot, REECE NATHANIEL RICKERTSEN (DPM) is marked active.
What is REECE NATHANIEL RICKERTSEN (DPM)'s primary classification?
Podiatrist is the headline specialty for REECE NATHANIEL RICKERTSEN (DPM) here. Clinical services aligned with this taxonomy classification.
Where should I expect REECE NATHANIEL RICKERTSEN (DPM) on a map?
Expect Gallatin, Tennessee as a primary anchor for REECE NATHANIEL RICKERTSEN (DPM) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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