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JEFFREY D RICKETTS PA
NPI 1063495281
Physician Assistant - Surgical in Jacksonville, FL

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
836 PRUDENTIAL DR, STE 1804, JACKSONVILLE, FL 32207(904) 398-3888(904) 400-6675 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2018, Oct 18, 2017, Jan 31, 2017 (3 updates tracked since 2017).

About Jeffrey D Ricketts Pa NPPES

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

JEFFREY D RICKETTS PA (NPI 1063495281) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9103298) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1063495281
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJEFFREY D RICKETTSCredential: PA
Location Address836 PRUDENTIAL DR, STE 1804Jacksonville, FL 32207
Mailing Address1824 King St, Ste 200Jacksonville, FL 32204-4736 · (904) 384-3343 · Fax (904) 400-6671
Phone(904) 398-3888
Fax(904) 400-6675
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 22, 2005
Last NPPES UpdateMay 10, 20183 updates tracked since enumeration
✔ NPI 1063495281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9103298
836 PRUDENTIAL DR, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 1

Medicaid292285100FL

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

Jeffrey D Ricketts Pa 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 ID6608809314
PECOS Enrollment IDI20240514001530
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
99%98 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%35 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

REPRODUCTIVE MEDICINE ASSOCIATES, P.A.
Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR, SUITE 902
JACKSONVILLE, FL 32207
Duval County (904) 399-5620
HECTOR EDWARD JAMES MD
Neurological Surgery
836 PRUDENTIAL DR, UFJP NEUROSURGERY - PEDIATRICS
JACKSONVILLE, FL 32207
Duval County (904) 398-5201
DR. ALAN RONALD ECKELS M.D.
Specialist
836 PRUDENTIAL DR, SUITE 1606
JACKSONVILLE, FL 32207
Duval County (904) 396-3700
ERIN M MOORE MD
Surgery (Vascular Surgery)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Duval County (904) 398-3888
HAYDEN POTTER APRN
Nurse Practitioner (Family)
836 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 000-0000
JOSEPH DAVID ALLEN PA-C
Physician Assistant (Medical)
836 PRUDENTIAL DR, SUITE 801
JACKSONVILLE, FL 32207
Duval County (904) 288-0433
ALEXANDER TUAN ROSE M.D.
Surgery
836 PRUDENTIAL DR, SUITE 1001
JACKSONVILLE, FL 32207
Duval County (904) 398-0033
DR. STEVEN EDWARD HODGETT M.D.
Surgery
836 PRUDENTIAL DR, 1107
JACKSONVILLE, FL 32207
Duval County (904) 398-0033

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 Jeffrey Ricketts's NPI number?

The NPI number for Jeffrey Ricketts is 1063495281. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Jeffrey Ricketts located?

Jeffrey Ricketts practices at 836 Prudential Dr Ste 1804, Jacksonville, FL 32207. The listed phone number is (904) 398-3888.

What is Jeffrey Ricketts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jeffrey Ricketts enrolled in Medicare?

Yes. Jeffrey 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.

Is Jeffrey Ricketts affiliated with any hospitals?

According to CMS data, Jeffrey Ricketts is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Ricketts was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.