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NICOLA RICKETTS APRN
NPI 1750640363
Nurse Practitioner - Adult Health in Conyers, GA

Active since May 16, 2012PECOS Enrolled
1147 CHARMING PINES PL NE, CONYERS, GA 30012(718) 518-9007 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Jan 26, 2026 (2 updates tracked since 2026).

About Nicola Ricketts Aprn NPPES

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

NICOLA RICKETTS APRN (NPI 1750640363) is an individual adult health provider in Conyers, Georgia, licensed in Georgia (NP712978) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750640363
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLA RICKETTSCredential: APRN
Location Address1147 CHARMING PINES PL NEConyers, GA 30012-5223
Mailing Address1147 Charming Pines Pl NeConyers, GA 30012-5223 · (718) 518-9007
Phone(718) 518-9007
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 16, 2012
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1750640363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · NP712978
Also ListedRegistered NurseTaxonomy 163W00000X · License 578272-1 (NY)
1147 CHARMING PINES PL NE, Conyers, GA 30012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicola Ricketts Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224512249
PECOS Enrollment IDI20260323002816
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 30012 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Nicola Ricketts's NPI number?

The NPI number for Nicola Ricketts is 1750640363. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Nicola Ricketts located?

Nicola Ricketts practices at 1147 Charming Pines Pl NE, Conyers, GA 30012. The listed phone number is (718) 518-9007.

What is Nicola Ricketts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicola Ricketts enrolled in Medicare?

Yes. Nicola Ricketts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicola Ricketts was last updated on March 17, 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.