JOHN M RICKETTS CRNA
NPI 1053520874
Nurse Anesthetist, Certified Registered in Kennett, MO

Active since May 21, 2007Accepts Medicare Assignment
1231 1ST ST, KENNETT, MO 63857(573) 888-4522 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John M Ricketts Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M RICKETTS CRNA (NPI 1053520874) is an individual nurse anesthetist, certified registered in Kennett, Missouri, licensed in Missouri (060608) and active in the NPI registry since May 2007. He is a graduate of Other (1976).

NPPES Registry Identity

NPI1053520874
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHN M RICKETTSCredential: CRNA
Location Address1231 1ST STKennett, MO 63857-2527
Mailing Address209 S Main StPoplar Bluff, MO 63901-5831 · (573) 686-5550 · Fax (573) 686-2139
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 6, 2014
NPI 1053520874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MO · 060608
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1231 1ST ST, Kennett, MO 63857

Other Identifiers 3

Medicaid1053520874MO
Medicaid145737701AR
Medicare PINMA4141001MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John M Ricketts Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385604180
PECOS Enrollment IDI20041015000627

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918
This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1231 1ST ST, SUITE 5
KENNETT, MO 63857
Clinic/Center (Rural Health)
1231 1ST ST
KENNETT, MO 63857
Internal Medicine
1231 1ST ST, SUITE 8
KENNETT, MO 63857
Clinic/Center (Rural Health)
1231 1ST ST, SUITE 5
KENNETT, MO 63857
Clinic/Center (Rural Health)
1231 1ST ST, SUITE 5
KENNETT, MO 63857
Psychiatry & Neurology (Psychiatry)
1231 1ST ST
KENNETT, MO 63857
Nurse Practitioner (Psychiatric/Mental Health)
1231 1ST ST
KENNETT, MO 63857
Specialist
1231 1ST ST, SUITE 4
KENNETT, MO 63857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Ricketts's NPI number?

The NPI number for John Ricketts is 1053520874. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is John Ricketts located?

John Ricketts practices at 1231 1st St, Kennett, MO 63857. The listed phone number is (573) 888-4522.

What is John Ricketts's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is John Ricketts enrolled in Medicare?

Yes. John Ricketts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Ricketts was last updated on August 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.