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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RILEIGH TENAE RICKEN
NPI 1245018464
General Practice in Portsmouth, VA

Active since September 19, 2023PECOS Enrolled
620 JOHN PAUL JONES CIR STE 275, PORTSMOUTH, VA 23708(757) 953-7704 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2026, May 13, 2025 (2 updates tracked since 2025).

About Rileigh Tenae Ricken NPPES

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

RILEIGH TENAE RICKEN (NPI 1245018464) is an individual general practice provider in Portsmouth, Virginia, licensed in Virginia (0102210331) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1245018464
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameRILEIGH TENAE RICKEN
Location Address620 JOHN PAUL JONES CIR STE 275Portsmouth, VA 23708-2197
Mailing Address620 John Paul Jones Cir Ste 275Portsmouth, VA 23708-2197
Phone(757) 953-7704
Sole ProprietorNo
Enumeration DateSeptember 19, 2023
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1245018464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102210331
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

620 JOHN PAUL JONES CIR STE 275, Portsmouth, VA 23708
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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (775) 301-7752

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rileigh Tenae Ricken 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.

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.

GAIL P MOTA PHARMD
Pharmacist
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3333
AKSHAT KULKARNI DO
Student in an Organized Health Care Education/Training Program
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
BRIAN KEITH GORDON DMD
Dentist
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7550
MRS. KAREN REYNOLDS BRAYBOY MSN, CNM
Advanced Practice Midwife
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-4300
ELISHA BOLTON APRN
Clinical Nurse Specialist
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3382
RON-JOSEPH L OCAMPO DO
Military Health Care Provider
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-5000
MS. MARY ELIZABETH BACON RN BSN CCM
Registered Nurse (Case Management)
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0612
MAXINE ANTONETTE BUTLER RN BSN MSHCA
Registered Nurse (Case Management)
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-4018

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 Rileigh Ricken's NPI number?

The NPI number for Rileigh Ricken is 1245018464. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Rileigh Ricken located?

Rileigh Ricken practices at 620 John Paul Jones Cir Ste 275, Portsmouth, VA 23708. The listed phone number is (757) 953-7704.

What is Rileigh Ricken's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rileigh Ricken enrolled in Medicare?

Yes. Rileigh Ricken is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rileigh Ricken was last updated on July 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.