CAROL RICKER CRNP
NPI 1528421963
Nurse Practitioner - Family in Hanover, PA

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
300 HIGHLAND AVE, HANOVER, PA 17331(717) 988-0000(717) 782-5716 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2021, Jan 30, 2021, Aug 1, 2019 and 1 more (4 updates tracked since 2016).

About Carol Ricker Crnp NPPES

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

CAROL RICKER CRNP (NPI 1528421963) is an individual family provider in Hanover, Pennsylvania, licensed in Pennsylvania (SP016328) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528421963
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL RICKERCredential: CRNP
Location Address300 HIGHLAND AVEHanover, PA 17331
Mailing Address300 Highland AveHanover, PA 17331-2297
Fax(717) 782-5716
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 2, 2016
Last NPPES UpdateApril 9, 20214 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
NPI 1528421963 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 PA · SP016328
300 HIGHLAND AVE, Hanover, PA 17331

Other Identifiers 1

Medicaid103224618PA

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

Carol Ricker Crnp 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 ID2668769506
PECOS Enrollment IDI20160921001051
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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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.

Clinical Medical Laboratory
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
300 HIGHLAND AVE
HANOVER, PA 17331
Nurse Anesthetist, Certified Registered
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Pediatrics
300 HIGHLAND AVE
HANOVER, PA 17331
Internal Medicine
300 HIGHLAND AVE
HANOVER, PA 17331

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 Carol Ricker's NPI number?

The NPI number for Carol Ricker is 1528421963. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Carol Ricker located?

Carol Ricker practices at 300 Highland Ave, Hanover, PA 17331. The listed phone number is (717) 988-0000.

What is Carol Ricker's specialty?

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

Is Carol Ricker enrolled in Medicare?

Yes. Carol Ricker 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.

When was this NPI record last updated?

The NPPES record for Carol Ricker was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.