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

Q: 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.

Q: What is Beverly Ricker's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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 #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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