NICOLE RICKETTS
NPI 1962686683
Physician Assistant - Surgical in Pittsburgh, PA

Active since December 18, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 LOTHROP ST, SUITE 1135, PITTSBURGH, PA 15213(412) 647-6485 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Ricketts NPPES

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

NICOLE RICKETTS (NPI 1962686683) is an individual surgical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA053142) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962686683
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE RICKETTS
Location Address200 LOTHROP ST, SUITE 1135Pittsburgh, PA 15213-2536
Mailing Address200 Lothrop St, Suite 1135Pittsburgh, PA 15213-2536
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 18, 2007
Last NPPES UpdateApril 6, 2021
NPI 1962686683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in PA · MA053142
200 LOTHROP ST, Pittsburgh, PA 15213

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

Nicole Ricketts 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 ID7416037262
PECOS Enrollment IDI20080107000001
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.

Hospital Affiliations CMS Care Compare

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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
200 LOTHROP ST
PITTSBURGH, PA 15213
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213

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 Nicole Ricketts's NPI number?

The NPI number for Nicole Ricketts is 1962686683. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Nicole Ricketts located?

Nicole Ricketts practices at 200 Lothrop St Suite 1135, Pittsburgh, PA 15213. The listed phone number is (412) 647-6485.

What is Nicole Ricketts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Ricketts enrolled in Medicare?

Yes. Nicole Ricketts 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 Nicole Ricketts affiliated with any hospitals?

According to CMS data, Nicole Ricketts is affiliated with Upmc Passavant.

When was this NPI record last updated?

The NPPES record for Nicole Ricketts was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.