RICKY BROCKINGTON – Nurse Practitioner, NPI 1871108233
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for RICKY BROCKINGTON
19124 LAKESIDE DR
COURTLAND, VA 238372634
Phone: (757) 562-2004
Type: Mailing
19124 Lakeside Dr
Courtland, VA 238372634
Phone: (757) 562-2004
Type: Location
102 FAIRVIEW DR STE B
FRANKLIN, VA 238511206
Phone: (757) 562-2158
Fax: (757) 516-8019
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Novo Nordisk Inc ($95).
Total Amount
$120
General + Research + Ownership
Payments
7
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $95 |
| Inspire Medical Systems, Inc. | $26 |
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: 2021-04-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210401000757 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 717 | 362 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 243 | 243 | $0 |
| 83036 | Hemoglobin a1c level | 71 | 54 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 53 | 31 | $0 |
| 69210 | Removal of impacted ear wax | 38 | 37 | $0 |
Insurance plans in this area (ZIP 23837)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Internal Medicine | VA | |
| Family Practice | NJ | |
| Family Practice | VA |
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