LAUREN RICCHIUTI-JACKSON
NPI 1164042966
Family Medicine in Bradenton, FL

Q: What is Lauren Ricchiuti-jackson's NPI number?

The NPI number for Lauren Ricchiuti-jackson is 1164042966. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Q: What is Lauren Ricchiuti-jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment

5123 4TH AVENUE CIR E, BRADENTON, FL 34208(941) 744-5510 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, Apr 22, 2020 (2 updates tracked since 2020).

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About Lauren Ricchiuti-jackson NPPES

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

LAUREN RICCHIUTI-JACKSON (NPI 1164042966) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (OS19939) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2020).

NPPES Registry Identity

NPI1164042966

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLAUREN RICCHIUTI-JACKSON

Location Address5123 4TH AVENUE CIR EBradenton, FL 34208-5620

Mailing Address5123 4th Avenue Cir EBradenton, FL 34208-5620

Phone(941) 744-5510

Sole ProprietorNo

Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2020

Enumeration DateApril 21, 2020

Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1164042966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS19939

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5123 4TH AVENUE CIR E, Bradenton, FL 34208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Ricchiuti-jackson 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 ID2466897442

PECOS Enrollment IDI20240229001537

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 Reassignment

Medicare enrollment records show Lauren Ricchiuti-jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cooper Family Medical PLLC

Same address

Family Medicine

5123 4TH AVENUE CIR E
Bradenton, FL 34208

Reassigned Medicare billing, Florida enrollment
20 clinicians in this Medicare group

NPI 1871513192 (941) 744-5510

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 10

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

145 services31 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

128 services128 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

120 services120 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

114 services92 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

81 services81 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

77 services77 patients

Hospital Affiliations CMS Care Compare 3

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100035

Location206 2nd St EBradenton, FL 34208 · Manatee County

Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100299

Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 14

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

SABRINA D BAKER NP

Nurse Practitioner (Family)