AURELIA RICKETTS PMHNP
NPI 1558890996
Nurse Practitioner - Psychiatric/Mental Health in Pasadena, CA

Active since June 08, 2017Opted out of Medicare · through Aug 21, 2026
102 N MADISON AVE, PASADENA, CA 91101(626) 602-8530(626) 597-3336 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2023, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Aurelia Ricketts Pmhnp NPPES

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

AURELIA RICKETTS PMHNP (NPI 1558890996) is an individual psychiatric/mental health provider in Pasadena, California, licensed in California (95008067) and active in the NPI registry since June 2017. She has opted out of Medicare through August 21, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558890996
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAURELIA RICKETTSCredential: PMHNP
Location Address102 N MADISON AVEPasadena, CA 91101-1710
Mailing Address102 N Madison AvePasadena, CA 91101-1710 · (626) 602-8530 · Fax (626) 597-3336
Fax(626) 597-3336
Sole ProprietorYes
Enumeration DateJune 8, 2017
Last NPPES UpdateJune 6, 20235 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
NPI 1558890996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95008067
Also ListedRegistered NurseTaxonomy 163W00000X · License 849378 (TX)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95144709 (CA)
102 N MADISON AVE, Pasadena, CA 91101

Other Names 1

Former Name (1)Aurelia Wuelfing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Aurelia Ricketts Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 21, 2022 through August 21, 2026.

Opt-Out Effective DateAugust 21, 2022
Opt-Out In Effect ThroughAugust 21, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

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

Psychologist
102 N MADISON AVE
PASADENA, CA 91101
Psychologist (Clinical)
102 N MADISON AVE
PASADENA, CA 91101
Clinic/Center (Mental Health (Including Community Mental Health Center))
102 N MADISON AVE
PASADENA, CA 91101
Psychologist (Clinical)
102 N MADISON AVE
PASADENA, CA 91101

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 Aurelia Ricketts's NPI number?

The NPI number for Aurelia Ricketts is 1558890996. It was assigned to this individual provider in the NPPES registry on June 8, 2017. The provider is also known as Aurelia Wuelfing.

Where is Aurelia Ricketts located?

Aurelia Ricketts practices at 102 N Madison Ave, Pasadena, CA 91101. The listed phone number is (626) 602-8530.

What is Aurelia Ricketts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Aurelia Ricketts enrolled in Medicare?

No. Aurelia Ricketts has opted out of Medicare through August 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Aurelia Ricketts was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.