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BEVERLY J RICKER MD
NPI 1164476180
Pediatrics in Two Rivers, WI

Active since May 22, 2006PECOS Enrolled
5300 MEMORIAL DR, TWO RIVERS, WI 54241(429) 075-9853 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2020, Oct 23, 2019 (2 updates tracked since 2019).

About Beverly J Ricker Md NPPES

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

BEVERLY J RICKER MD (NPI 1164476180) is an individual pediatrics provider in Two Rivers, Wisconsin, licensed in Wisconsin (33359) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jamestown.

NPPES Registry Identity

NPI1164476180
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBEVERLY J RICKERCredential: MD
Location Address5300 MEMORIAL DRTwo Rivers, WI 54241
Mailing Address5300 Memorial DrTwo Rivers, WI 54241-3923 · (429) 075-9853
Phone(429) 075-9853
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1164476180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 33359✔ Licensed in ND · 9937
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5300 MEMORIAL DR, Two Rivers, WI 54241
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Secondary Practice Location 1

Location 1401 3rd St SEJamestown, ND 58401-4247 · Phone (701) 253-5300 · Fax (701) 253-5402

Other Identifiers 17

Other972S0RIND · Mnbs #
Other1203228ND · Medica #
Other1203229ND · Medica #
Medicaid13381ND
Other972S1RIND · Mnbs #
Other972S2RIND · Mnbs #
Other972S3RIND · Mnbs #
OtherDA9061008851ND · Preferred One #
Other1203226ND · Medica #
Other1203227ND · Medica #
Other40858ND · Lhs/bannerhealth #
Other108971ND · Ucare #
Other25404ND · Ndbs #
Medicaid32019300WI
Medicaid647218400ND
Other24202ND · America's Ppo/araz #
Other25406ND · Ndbs #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly J Ricker Md 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

2

Medicare enrollment records show Beverly Ricker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Altoona
533 mi
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
NPI 1497831655 (814) 889-2223
Emergency Medicine Associates P.A., P.C.
639 mi
Emergency Medicine
1850 TOWN CENTER PKWY
Reston, VA 20190
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,150 clinicians in this Medicare group
NPI 1932064268 (330) 493-4443

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54241 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

JOANNA SMOGOLESKI
Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7400
KAYCEE CAROBINE
Physical Therapy Assistant
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7570
LISA A KUMBALEK NP
Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7300
REBECCA CLARE RUSCH DIABETIC EDUCATOR
Registered Nurse (Diabetes Educator)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7332
DR. DOUGLAS E RAPISARDA MD
Otolaryngology
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7530
ANGELA KATSMA
Pediatrics
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7337
DR. BRYCE ALEXANDRA LEWELLEN O.D.
Optometrist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7515
DR. STEVEN BRADLEY GOLDIN MD PHD MPH CPH
Surgery
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 793-7300

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 Beverly Ricker's NPI number?

The NPI number for Beverly Ricker is 1164476180. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Beverly Ricker located?

Beverly Ricker practices at 5300 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (429) 075-9853.

What is Beverly Ricker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Beverly Ricker enrolled in Medicare?

Yes. Beverly Ricker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Beverly Ricker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Ricker reassigns Medicare benefits to 2 organizations: Upmc Altoona (Altoona, PA) and Emergency Medicine Associates P.A., P.C. (Reston, VA). Each 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 Beverly Ricker'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 Beverly Ricker was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.