KRISTEN ALORA RICKER – Internal Medicine Physician, NPI 1083354559

KRISTEN ALORA RICKER is a healthcare provider. based in Roanoke, Virginia. specializing in INTERNAL MEDICINE. They hold a License No. 73305 (TN). The NPI Number for KRISTEN ALORA RICKER is 1083354559

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN ALORA RICKER
NPI
1083354559
Phone
(540) 981-7000
Address
1906 BELLEVIEW AVE SE
Enumeration Date
31 March 2022
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234397280
Graduation Year
2022 (4 years ago)
PAC ID
1850775420
Group Practice PAC ID
3870491269
Professional Enrollment ID
I20250828000450
Address ID
TN376046092JO325XXRDXX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

4,930 INTERNAL MEDICINE in VA

Provider Addresses for KRISTEN ALORA RICKER

  • 1906 BELLEVIEW AVE SE

    ROANOKE, VA 240141838

    Phone: (540) 981-7000

    Type: Mailing

  • PO BOX 699

    MOUNTAIN HOME, TN 376840699

    Phone:

    Fax: (423) 439-8110

    Type: Mailing

  • 325 N STATE OF FRANKLIN RD FL 2

    JOHNSON CITY, TN 376046092

    Phone: (423) 439-7280

    Fax: (423) 439-8110

    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: 2025-08-28

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
I20250828000450IInternal MedicineTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24014)

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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: 3870491269View full group profile
NameSpecialtyState
Family PracticeTN
Hematology, Internal MedicineTN
Physical Therapist In Private PracticeFL
-TN
Infectious DiseaseTN
-TN
Family PracticeTN
Internal MedicineTN
Nurse PractitionerTN
-MD

Reviews

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Frequently asked questions

Can I cross-check KRISTEN ALORA RICKER using NPI 1083354559?
NPI 1083354559 belongs to KRISTEN ALORA RICKER; compare other details if you need extra assurance.
Active or inactive — what applies to KRISTEN ALORA RICKER?
You should see KRISTEN ALORA RICKER as active in CMS-hosted NPPES data.
What kind of doctor is KRISTEN ALORA RICKER?
KRISTEN ALORA RICKER is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTEN ALORA RICKER?
Travel planning: use Roanoke, Virginia as the reference point for KRISTEN ALORA RICKER, then confirm.
Does KRISTEN ALORA RICKER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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