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MRS. CAROLYN MARIE RICKETTS MSN, CNP, FNP-BC
NPI 1316613276
Nurse Practitioner - Family in Marysville, OH

Active since August 20, 2021PECOS EnrolledAccepts Medicare Assignment
388 DAMASCUS RD, MARYSVILLE, OH 43040(937) 578-4040(937) 578-2602 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2022, Aug 20, 2021 (2 updates tracked since 2021).

About Mrs. Carolyn Marie Ricketts Msn, Cnp, Fnp-bc NPPES

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

MRS. CAROLYN MARIE RICKETTS MSN, CNP, FNP-BC (NPI 1316613276) is an individual family provider in Marysville, Ohio, licensed in Ohio (APRN.CNP.0029463) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316613276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROLYN MARIE RICKETTSCredential: MSN, CNP, FNP-BC
Location Address388 DAMASCUS RDMarysville, OH 43040-5535
Mailing Address388 Damascus RdMarysville, OH 43040-5535 · (937) 578-4040 · Fax (937) 578-2602
Phone(937) 578-4040
Fax(937) 578-2602
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 20, 2021
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1316613276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0029463
388 DAMASCUS RD, Marysville, OH 43040
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Mrs. Carolyn Marie Ricketts Msn, Cnp, Fnp-bc 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 ID4981096005
PECOS Enrollment IDI20240411002417
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 Reassignments

2

Medicare enrollment records show Carolyn Ricketts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Union County Physician Corporation
1.3 mi
Occupational Medicine
500 LONDON AVE, DEPARTMENT OF OCCUPATIONAL HEALTH
Marysville, OH 43040
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1497300172 (937) 578-2417
Maple Leaf Family And Sports Medicine, LLC
19 mi
Family Medicine
2211 TIMBER TRAIL
Bellefontaine, OH 43311
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1447328067 (937) 592-3808

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
42 services42 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 17

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

CHRISTA KERNS CNP
Nurse Practitioner (Family)
388 DAMASCUS RD
MARYSVILLE, OH 43040
Union County (937) 578-4040
MS. SHELLEY LYNN WYSE P.A.-C
Physician Assistant (Medical)
388 DAMASCUS RD
MARYSVILLE, OH 43040
Union County (937) 578-4040
DR. PATRICK A SNYDER DC
Chiropractor
388 DAMASCUS RD
MARYSVILLE, OH 43040
Union County (937) 578-4019
MEGAN KEIGHLEY
Nurse Practitioner (Family)
388 DAMASCUS RD
MARYSVILLE, OH 43040
Union County (937) 578-4040
DR. DELIA J. HERZOG M.D.
Family Medicine
388 DAMASCUS RD, SUITE A
MARYSVILLE, OH 43040
Union County (937) 578-4040
STEPHANIE KRACKER PA-C
Physician Assistant
388 DAMASCUS RD
MARYSVILLE, OH 43040
Union County (937) 578-2626
MRS. SARA RACHEL MORRISON APRN
Nurse Practitioner (Family)
388 DAMASCUS RD
MARYSVILLE, OH 43040
Union County (937) 578-4040
DR. JEFFREY E. MOORE M.D.
Family Medicine
388 DAMASCUS RD, SUITE A
MARYSVILLE, OH 43040
Union County (937) 578-4040

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 Carolyn Ricketts's NPI number?

The NPI number for Carolyn Ricketts is 1316613276. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Carolyn Ricketts located?

Carolyn Ricketts practices at 388 Damascus Rd, Marysville, OH 43040. The listed phone number is (937) 578-4040.

What is Carolyn Ricketts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolyn Ricketts enrolled in Medicare?

Yes. Carolyn 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 Carolyn Ricketts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Ricketts reassigns Medicare benefits to 2 organizations: Union County Physician Corporation (Marysville, OH) and Maple Leaf Family And Sports Medicine, LLC (Bellefontaine, OH). 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 Carolyn Ricketts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Ricketts accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Carolyn 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.

Is Carolyn Ricketts affiliated with any hospitals?

According to CMS data, Carolyn Ricketts is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Ricketts was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.