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RICKY ANTHONY NICOSKI MD
NPI 1831172717
Family Medicine in Vancouver, WA

Active since November 23, 2005PECOS Enrolled
417 SE 164TH AVE, SUITE 300, VANCOUVER, WA 98684(360) 896-6944(360) 254-2894 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ricky Anthony Nicoski Md NPPES

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

RICKY ANTHONY NICOSKI MD (NPI 1831172717) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (30591) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831172717
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICKY ANTHONY NICOSKICredential: MD
Location Address417 SE 164TH AVE, SUITE 300Vancouver, WA 98684-8943
Mailing AddressPo Box 92900Portland, OR 97292-0900 · (360) 896-6944
Phone(360) 896-6944
Fax(360) 254-2894
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateSeptember 3, 2014
✔ NPI 1831172717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 30591
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
417 SE 164TH AVE, Vancouver, WA 98684
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Other Identifiers 3

Medicare UPINE46870
Medicare ID-Type UnspecifiedAB26698WA
Medicaid8144925WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ricky Anthony Nicoski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ricky Nicoski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sapphire At Gresham Rehab, LLC
8.9 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98684 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

MRS. BRITT ROSE RICCI LCSW
Social Worker (Clinical)
417 SE 164TH AVE
VANCOUVER, WA 98684
Clark County (503) 740-1971
ARTHUR GASKELL III MD
Family Medicine
417 SE 164TH AVE, SUITE 300
VANCOUVER, WA 98684
Clark County (360) 896-6944
KAREN R WILLIAMS MD
Internal Medicine
417 SE 164TH AVE, SUITE 300
VANCOUVER, WA 98684
Clark County (360) 896-6944
CHERI N OELLRICH MD
Family Medicine
417 SE 164TH AVE, SUITE 300
VANCOUVER, WA 98684
Clark County (360) 896-6944

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 Ricky Nicoski's NPI number?

The NPI number for Ricky Nicoski is 1831172717. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Ricky Nicoski located?

Ricky Nicoski practices at 417 SE 164th Ave Suite 300, Vancouver, WA 98684. The listed phone number is (360) 896-6944.

What is Ricky Nicoski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ricky Nicoski enrolled in Medicare?

Yes. Ricky Nicoski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ricky Nicoski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricky Nicoski reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Ricky Nicoski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ricky Nicoski was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.