ADRIAN RICKETTS DAVIES PA
NPI 1366934382
Physician Assistant in Albuquerque, NM

Q: What is Adrian Davies's NPI number?

The NPI number for Adrian Davies is 1366934382. It was assigned to this individual provider in the NPPES registry on June 5, 2018. The provider is also known as Adrian Kelly Ricketts PA.

Q: What is Adrian Davies's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Adrian Davies was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment

1901 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112(505) 281-5180(505) 702-8171 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, May 10, 2022, Jul 6, 2021 and 4 more (7 updates tracked since 2018).

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About Adrian Ricketts Davies Pa NPPES

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

ADRIAN RICKETTS DAVIES PA (NPI 1366934382) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2026-0017) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jellico, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366934382

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameADRIAN RICKETTS DAVIESCredential: PA

Location Address1901 JUAN TABO BLVD NEAlbuquerque, NM 87112-3303

Mailing Address6419 Bristol HwyPiney Flats, TN 37686-5208 · (615) 202-3359

Phone(505) 281-5180

Fax(505) 702-8171

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJune 5, 2018

Last NPPES UpdateMarch 19, 20267 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1366934382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NM · PA2026-0017✔ Licensed in TN · 1151615✔ Licensed in TN · 3603✔ Licensed in KY · TC954

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1901 JUAN TABO BLVD NE, Albuquerque, NM 87112

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Other Names 1

Former Name (1)Adrian Kelly Ricketts Pa

Secondary Practice Location 1

Location 1550 Sunset TrlJellico, TN 37762-2343 · Phone (615) 202-3359

Other Identifiers 4

OtherTC954KY · State License

MedicaidQ045211TN

Other3603TN · State License

Medicaid7100690300KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adrian Ricketts Davies Pa 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 ID1456697812

PECOS Enrollment IDI20260324004063

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87112 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

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 5

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

LOVELACE HEALTHCARE CENTER-JUAN TABO SOUTH

Internal Medicine