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DR. TRACY L RICKE M.D.
NPI 1275681611
Pediatrics - Pediatric Emergency Medicine in Andover, MN

Active since January 08, 2007PECOS Enrolled
3360 S COON CREEK DR, ANDOVER, MN 55304(612) 298-6144 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tracy L Ricke M.d. NPPES

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

DR. TRACY L RICKE M.D. (NPI 1275681611) is an individual pediatric emergency medicine provider in Andover, Minnesota, licensed in Minnesota (53638) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275681611
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. TRACY L RICKECredential: M.D.
Location Address3360 S COON CREEK DRAndover, MN 55304-3220
Mailing Address3360 S Coon Creek DrAndover, MN 55304-3220 · (612) 298-6144
Phone(612) 298-6144
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 22, 2011
✔ NPI 1275681611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MN · 53638
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
3360 S COON CREEK DR, Andover, MN 55304
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy L Ricke M.d. 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 Reassignment

Medicare enrollment records show Tracy Ricke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
1,300 mi
Transplant Surgery
2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1124560214 (909) 558-3636

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

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 Tracy Ricke's NPI number?

The NPI number for Tracy Ricke is 1275681611. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Tracy Ricke located?

Tracy Ricke practices at 3360 S Coon Creek Dr, Andover, MN 55304. The listed phone number is (612) 298-6144.

What is Tracy Ricke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Tracy Ricke enrolled in Medicare?

Yes. Tracy Ricke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Ricke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Ricke reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV). The 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 Tracy Ricke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Ricke accept?

Health plans from Medica list Tracy Ricke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Ricke was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.