SAMUEL RICKER PA
NPI 1194560565
Physician Assistant in Menasha, WI

Q: What is Samuel Ricker's NPI number?

The NPI number for Samuel Ricker is 1194560565. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Q: What is Samuel Ricker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Ricker was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2024PECOS EnrolledAccepts Medicare Assignment

1550 MIDWAY PL, MENASHA, WI 54952(920) 727-8100 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, Jun 27, 2024 (2 updates tracked since 2024).

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About Samuel Ricker Pa NPPES

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

SAMUEL RICKER PA (NPI 1194560565) is an individual physician assistant in Menasha, Wisconsin and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194560565

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSAMUEL RICKERCredential: PA

Location Address1550 MIDWAY PLMenasha, WI 54952-1165

Mailing Address1550 Midway PlMenasha, WI 54952-1165

Phone(920) 727-8100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 27, 2024

Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1194560565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1550 MIDWAY PL, Menasha, WI 54952

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Ricker Pa 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 ID3678004793

PECOS Enrollment IDI20241001000316

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.

Hospital Affiliations CMS Care Compare 2

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521317

Location614 Memorial DriveChilton, WI 53014 · Calumet County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

AMY JOAN RIESTERER

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