STACIE LYNN RICKETTS-MCCOOK NP
NPI 1053956045
Nurse Practitioner - Adult Health in Stockbridge, GA

Q: What is Stacie Ricketts-mccook's NPI number?

The NPI number for Stacie Ricketts-mccook is 1053956045. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Q: What is Stacie Ricketts-mccook's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since November 13, 2019PECOS Enrolled

1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(678) 604-5901 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2024, Nov 30, 2021, Nov 13, 2019 (3 updates tracked since 2019).

On this page

About Stacie Lynn Ricketts-mccook Np NPPES

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

STACIE LYNN RICKETTS-MCCOOK NP (NPI 1053956045) is an individual adult health provider in Stockbridge, Georgia, licensed in Georgia (RN185141) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wallingford.

NPPES Registry Identity

NPI1053956045

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSTACIE LYNN RICKETTS-MCCOOKCredential: NP

Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085

Mailing Address863 N Main Street Ext Ste 200Wallingford, CT 06492-2434

Phone(678) 604-5901

Sole ProprietorYes

Enumeration DateNovember 13, 2019

Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1053956045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN185141

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 10235 (CT)

1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

Open in Google Maps ↗

Secondary Practice Location 1

Location 1863 N Main Street Ext Ste 200Wallingford, CT 06492-2434 · Phone (203) 265-3280

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacie Lynn Ricketts-mccook Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stacie Ricketts-mccook reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Hospitalist Physicians LLC

Same address

Family Medicine

1133 EAGLES LANDING PKWY
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
792 clinicians in this Medicare group

NPI 1548219660 (770) 801-2500

Piedmont Athens Hospitalist Physicians LLC

23 mi

Internal Medicine

35 COLLIER RD NW STE 635
Atlanta, GA 30309

Reassigned Medicare billing, Georgia enrollment
410 clinicians in this Medicare group

NPI 1578079000 (404) 367-3014

Hospital Physician Services - Southeast Professional Corporation

34 mi

Hospitalist

2151 W SPRING ST
Monroe, GA 30655

Reassigned Medicare billing, Georgia enrollment
777 clinicians in this Medicare group

NPI 1760410385 (770) 267-8461

Comprehensive Orthopedics & Musculoskeletal Care LLC

833 mi

Orthopaedic Surgery

863 NORTH MAIN ST EXT, STE 200
Wallingford, CT 06492

Reassigned Medicare billing, Connecticut enrollment
32 clinicians in this Medicare group

NPI 1790844330 (203) 741-6547

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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 20

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

DR. BRIGITTE VANLE MD

Emergency Medicine