MELISSA RICKER-BOUCHE MD
NPI 1184253775
Family Medicine - Geriatric Medicine in Sun Prairie, WI

Q: What is Melissa Ricker-bouche's NPI number?

The NPI number for Melissa Ricker-bouche is 1184253775. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Melissa Ricker-bouche's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment

2651 WINDSOR ST, SUN PRAIRIE, WI 53590(608) 837-2206 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Nov 14, 2024, Jul 15, 2023 and 4 more (7 updates tracked since 2020).

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About Melissa Ricker-bouche Md NPPES

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

MELISSA RICKER-BOUCHE MD (NPI 1184253775) is an individual geriatric medicine provider in Sun Prairie, Wisconsin, licensed in Wisconsin (76364) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1184253775

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameMELISSA RICKER-BOUCHECredential: MD

Location Address2651 WINDSOR STSun Prairie, WI 53590-9825

Mailing Address600 Highland AveMadison, WI 53792-0001

Phone(608) 837-2206

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020

Enumeration DateApril 6, 2020

Last NPPES UpdateDecember 5, 20247 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1184253775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in WI · 76364

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 76364 (WI)

Also ListedHospitalistTaxonomy 208M00000X · License 76364-20 (WI)

2651 WINDSOR ST, Sun Prairie, WI 53590

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Secondary Practice Location 1

Location 1600 Highland AveMadison, WI 53792-0001 · Phone (608) 263-4900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Melissa Ricker-bouche Md 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 ID7315369113

PECOS Enrollment IDI20230705001287

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 Melissa Ricker-bouche reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc

14 mi

Multi-Specialty

7974 UW HEALTH COURT
Middleton, WI 53562

Reassigned Medicare billing, Wisconsin enrollment
2,832 clinicians in this Medicare group

NPI 1598784555 (608) 829-5485

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

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53590 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 14

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

MARIA A CARWILE APNP, FNP-BC

Nurse Practitioner (Family)