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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. RICKEY LEE SOUTHWELL JR. PA-C
NPI 1952811051
Physician Assistant in Redding, CA

Active since October 04, 2017PECOS EnrolledAccepts Medicare Assignment
1742 OREGON ST, REDDING, CA 96001(530) 646-7269 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Jan 22, 2026, Apr 9, 2025 and 5 more (8 updates tracked since 2017).

About Mr. Rickey Lee Southwell Jr. Pa-c NPPES

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

MR. RICKEY LEE SOUTHWELL JR. PA-C (NPI 1952811051) is an individual physician assistant in Redding, California, licensed in California (54920) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Red Bluff, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952811051
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RICKEY LEE SOUTHWELL JR.Credential: PA-C
Location Address1742 OREGON STRedding, CA 96001-1717
Mailing Address2400 Washington Ave Ste 100Redding, CA 96001-2814 · (530) 530-2267
Phone(530) 646-7269
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 4, 2017
Last NPPES UpdateJuly 8, 20268 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1952811051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 54920
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1742 OREGON ST, Redding, CA 96001
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Secondary Practice Location 1

Location 1420 S Main StRed Bluff, CA 96080-4316 · Phone (530) 999-2014

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

Mr. Rickey Lee Southwell Jr. Pa-c 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 ID2769740547
PECOS Enrollment IDI20180122001481
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 96001 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

OLGA SAMPLAWSKI MMSC, PA-C
Physician Assistant (Medical)
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 646-7269
NICOLE MARGIT BORBA
Social Worker (Clinical)
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 646-7269
CANDY HULL PA-C
Physician Assistant
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 646-7269
MARINA DORMER LMFT
Marriage & Family Therapist
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 646-7259
YVONNE SCOTT CALLISON PA
Physician Assistant
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 251-6523
PAUL DONG-IL KIM PA-C
Physician Assistant
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 226-7419
BONNIE SUZANNE GILES
Social Worker (Clinical)
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 646-7269
ROLA ADEL MOURAD PA-C
Physician Assistant
1742 OREGON ST
REDDING, CA 96001
Shasta County (530) 646-7269

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 Rickey Southwell's NPI number?

The NPI number for Rickey Southwell is 1952811051. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Rickey Southwell located?

Rickey Southwell practices at 1742 Oregon St, Redding, CA 96001. The listed phone number is (530) 646-7269.

What is Rickey Southwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rickey Southwell enrolled in Medicare?

Yes. Rickey Southwell 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.

When was this NPI record last updated?

The NPPES record for Rickey Southwell was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.