AUDRA C RICICA CRNA
NPI 1790769099
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Active since December 01, 2005Accepts Medicare Assignment
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 482-5060 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2018, Oct 24, 2018 (2 updates tracked since 2018).

About Audra C Ricica Crna NPPES

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

AUDRA C RICICA CRNA (NPI 1790769099) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28188589A) and active in the NPI registry since December 2005. She is affiliated with Wood County Hospital and is a graduate of Other (1999).

NPPES Registry Identity

NPI1790769099
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAUDRA C RICICACredential: CRNA
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address5052 N Clinton StFort Wayne, IN 46825-5822 · (260) 484-8551 · Fax (260) 482-5060
Fax(260) 482-5060
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 1, 2005
Last NPPES UpdateOctober 30, 20182 updates tracked since enumeration
✔ NPI 1790769099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IN · 28188589A✔ Licensed in OH · RN-252552
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
5050 N CLINTON ST, Fort Wayne, IN 46825

Other Identifiers 4

Other430069360OH · Rrmc
Medicaid200979940IN
Medicaid2210333OH
Other000000208046OH · Anthem

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

Audra C Ricica Crna 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 ID4880738020
PECOS Enrollment IDI20100225000529, I20100525000265

Medicare Billing Reassignments

4

Medicare enrollment records show Audra Ricica reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
5050 N CLINTON ST
Fort Wayne, IN 46825
  • Reassigned Medicare billing, Indiana enrollment
  • 40 clinicians in this Medicare group
Internal Medicine
525 N EASTOWN RD STE 102
Lima, OH 45807
  • Reassigned Medicare billing, Ohio enrollment
  • 228 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
950 W WOOSTER ST
Bowling Green, OH 43402
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4841 MONROE ST, SUITE 111
Toledo, OH 43623
  • Reassigned Medicare billing, Ohio enrollment
  • 31 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 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
13 services12 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services12 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360029
Location950 West Wooster StreetBowling Green, OH 43402 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 20

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

Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physical Therapist
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FT WAYNE, IN 46825
Anesthesiology
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Practitioner
5050 N CLINTON ST
FORT WAYNE, IN 46825
Registered Nurse (Orthopedic)
5050 N CLINTON ST
FORT WAYNE, IN 46825

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 Audra Ricica's NPI number?

The NPI number for Audra Ricica is 1790769099. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Audra Ricica located?

Audra Ricica practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is Audra Ricica's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Audra Ricica enrolled in Medicare?

Yes. Audra Ricica 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 organizations bill Medicare for Audra Ricica's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audra Ricica reassigns Medicare benefits to 4 organizations: Surgery One Anesthesia, LLC (Fort Wayne, IN), Lima Memorial Professional Corporation (Lima, OH), Wood County Hospital Assn. (Bowling Green, OH) and Amsurg Toledo Anesthesia LLC (Toledo, OH). Each 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 Audra Ricica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Audra Ricica affiliated with any hospitals?

According to CMS data, Audra Ricica is affiliated with Wood County Hospital.

When was this NPI record last updated?

The NPPES record for Audra Ricica was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.