KENESHA SHASHANA RICKETTS
NPI 1285312157
Nurse Practitioner - Psychiatric/Mental Health in Miami Gardens, FL
About Kenesha Shashana Ricketts NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENESHA SHASHANA RICKETTS (NPI 1285312157) is an individual psychiatric/mental health provider in Miami Gardens, Florida, licensed in Florida (11027169) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kenesha Shashana Ricketts 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kenesha Ricketts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33130
- Reassigned Medicare billing, Florida enrollment
- 3,079 clinicians in this Medicare group
Port St Lucie, FL 34986
- Reassigned Medicare billing, Florida enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kenesha Ricketts's NPI number?
The NPI number for Kenesha Ricketts is 1285312157. It was assigned to this individual provider in the NPPES registry on July 10, 2023.
Where is Kenesha Ricketts located?
Kenesha Ricketts practices at 16401 Northwest 37th Ave, Miami Gardens, FL 33054. The listed phone number is (954) 391-0036.
What is Kenesha Ricketts's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kenesha Ricketts enrolled in Medicare?
Yes. Kenesha Ricketts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenesha Ricketts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenesha Ricketts reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Mindful Medical And Health Services LLC (Port St Lucie, FL). Each 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 Kenesha Ricketts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenesha Ricketts accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Kenesha Ricketts 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 Kenesha Ricketts was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Kenesha Shashana Ricketts · NPI 1285312157
Psychiatric/Mental Health physician in Miami Gardens, Florida. Individual provider, active in the CMS NPPES registry since July 10, 2023.
## Identity
- **NPI:** 1285312157 (Entity type: Individual)
- **Enumerated:** July 10, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11027169 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 16401 NORTHWEST 37TH AVE, Miami Gardens, FL 33054
- **Phone:** (954) 391-0036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Mindful Medical And Health Services LLC (NPI 1720759954, Port St Lucie, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285312157) · Data from the CMS NPPES public registry.