ALYSSA RICKERT
NPI 1316734023
Student in an Organized Health Care Education/Training Program in Anaheim, CA

Active since April 24, 2025PECOS Enrolled
5460 E LA PALMA AVE, ANAHEIM, CA 92807(714) 463-7500 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyssa Rickert NPPES

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

ALYSSA RICKERT (NPI 1316734023) is an individual student in an organized health care education/training program in Anaheim, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1316734023
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA RICKERT
Location Address5460 E LA PALMA AVEAnaheim, CA 92807-2023
Mailing Address5460 E La Palma AveAnaheim, CA 92807-2023 · (714) 463-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1316734023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5460 E LA PALMA AVE, Anaheim, CA 92807

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Rickert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062979123
PECOS Enrollment IDI20260807003254
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 Alyssa Rickert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
12371 JAMES ST STE 20
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 113 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.

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.

Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807

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 Alyssa Rickert's NPI number?

The NPI number for Alyssa Rickert is 1316734023. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Alyssa Rickert located?

Alyssa Rickert practices at 5460 E La Palma Ave, Anaheim, CA 92807. The listed phone number is (714) 463-7500.

What is Alyssa Rickert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alyssa Rickert enrolled in Medicare?

Yes. Alyssa Rickert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyssa Rickert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Rickert reassigns Medicare benefits to Svs Vision Inc (Holland, MI). 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 Alyssa Rickert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Rickert accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Alyssa Rickert 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 Alyssa Rickert was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.