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MRS. TAMI LYNN RICKEY NP
NPI 1760403141
Nurse Practitioner in Prince George, VA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
4700 PUDDLEDOCK ROAD, SUITE 300, PRINCE GEORGE, VA 23875(804) 526-1111(804) 526-8363 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1760403141
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TAMI LYNN RICKEYCredential: NP
Location Address4700 PUDDLEDOCK ROAD, SUITE 300Prince George, VA 23875-1268
Mailing Address4700 Puddledock Road, Suite 300Prince George, VA 23875-1268 · (804) 526-1111 · Fax (804) 526-8363
Phone(804) 526-1111
Fax(804) 526-8363
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 27, 2015
✔ NPI 1760403141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024165943
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 0024165943 (VA)
4700 PUDDLEDOCK ROAD, Prince George, VA 23875
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Other Names 1

Former Name (1)Tami Broadwater Np

Other Identifiers 2

Medicaid005641276VA
Medicare UPINP15699

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

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.

PECOS PAC ID6002806742
PECOS Enrollment IDI20040514000925
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
277 services209 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services116 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
94 services94 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
57 services57 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
47 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
43 services43 patients

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, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Physician 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.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

PRIME CARE FAMILY PRACTICE, P.C.
Family Medicine
4700 PUDDLEDOCK ROAD, SUITE 300
PRINCE GEORGE, VA 23875
Prince George County (804) 526-1111

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.

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 with the weekly NPPES data releases published by CMS.