MRS. TAMI LYNN RICKEY NP
NPI 1760403141
Nurse Practitioner in Prince George, VA
About Mrs. Tami Lynn Rickey Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TAMI LYNN RICKEY NP (NPI 1760403141) is an individual nurse practitioner in Prince George, Virginia, licensed in Virginia (0024165943) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Tami Lynn Rickey Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Tami Rickey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prince George, VA 23875
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Prime Care Family Practice PC
- 7 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John Randolph Medical Center
Acute Care Hospitals · Hopewell, VABon Secours Southside Medical Center
Acute Care Hospitals · Petersburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23875 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRINCE GEORGE, VA 23875
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 Tami Rickey's NPI number?
The NPI number for Tami Rickey is 1760403141. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Tami Broadwater Np.
Where is Tami Rickey located?
Tami Rickey practices at 4700 Puddledock Road Suite 300, Prince George, VA 23875. The listed phone number is (804) 526-1111.
What is Tami Rickey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tami Rickey enrolled in Medicare?
Yes. Tami Rickey 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.
Which organization bills Medicare for Tami Rickey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tami Rickey reassigns Medicare benefits to Prime Care Family Practice, P.C. (Prince George, VA). 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 Tami Rickey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tami Rickey affiliated with any hospitals?
According to CMS data, Tami Rickey is affiliated with John Randolph Medical Center and Bon Secours Southside Medical Center.
When was this NPI record last updated?
The NPPES record for Tami Rickey was last updated on July 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Tami Lynn Rickey, NP · NPI 1760403141
Nurse Practitioner physician in Prince George, Virginia. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1760403141 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 0024165943 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 PUDDLEDOCK ROAD, SUITE 300, Prince George, VA 23875-1268
- **Phone:** (804) 526-1111 · **Fax:** (804) 526-8363
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prime Care Family Practice, P.C. (NPI 1881629384, Prince George, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** July 27, 2015
- **Other identifiers:** Medicaid 005641276 (VA); Medicare UPIN P15699
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Source: [NPI Profile](https://npiprofile.com/npi/1760403141) · Data from the CMS NPPES public registry.