DR. JACK G RICCI D.C.
NPI 1124003868
Chiropractor in Winchester, VA
About Dr. Jack G Ricci D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK G RICCI D.C. (NPI 1124003868) is an individual chiropractor in Winchester, Virginia, licensed in Virginia (0104556410) and active in the NPI registry since December 2005. He is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jack G Ricci D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jack Ricci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 2 clinicians in this Medicare group
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 2
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.
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 Jack Ricci's NPI number?
The NPI number for Jack Ricci is 1124003868. It was assigned to this individual provider in the NPPES registry on December 14, 2005.
Where is Jack Ricci located?
Jack Ricci practices at 3119 Valley Ave Ste 104, Winchester, VA 22601. The listed phone number is (540) 662-6284.
What is Jack Ricci's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jack Ricci enrolled in Medicare?
Yes. Jack Ricci is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jack Ricci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Ricci reassigns Medicare benefits to Creekside Chiropractic, P.C. (Winchester, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Ricci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Ricci was last updated on November 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Jack G Ricci, D.C. · NPI 1124003868
Chiropractor provider in Winchester, Virginia. Individual provider, active in the CMS NPPES registry since December 14, 2005.
## Identity
- **NPI:** 1124003868 (Entity type: Individual)
- **Enumerated:** December 14, 2005
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 0104556410 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3119 VALLEY AVE STE 104, Winchester, VA 22601-2665
- **Phone:** (540) 662-6284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Creekside Chiropractic, P.C. (NPI 1235307950, Winchester, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1124003868) · Data from the CMS NPPES public registry.