Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194560565 Individual Practitioner Male Practitioner

Samuel Ricker , PA

Physician Assistant • Menasha, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Ricker, PA is a certified Physician Assistant practicing in Menasha, WI. With approximately 2 years of clinical experience since completing medical education in 2024, Samuel Ricker delivers high-quality medical care to the local community at 1550 MIDWAY PL.

Samuel Ricker is affiliated with Ascension Medical Group-Fox Valley Wisconsin Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1550 Midway Pl

Menasha, WI 549521165

Telephone 9207278100
Associated Practice Facility / Clinic
🏢 Ascension Ne Wisconsin, Inc Facility NPI 1124075536

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Menasha, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs Matches City Avg
City Avg: 2.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Menasha, WI (3517 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ricker (2 Years) 2 Yrs
Menasha Specialty Average (2.0 Years) 2.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Ascension Medical Group-Fox Valley Wisconsin Inc

1501 S Madison St, Appleton, WI 549151846

Phone: 9207382000

Ascension Medical Group-Fox Valley Wisconsin Inc

2601 Fieldcrest Dr, Kaukauna, WI 541304523

Phone: 9204626100

Ascension Medical Group-Fox Valley Wisconsin Inc

W6981 Parkview Dr, Greenville, WI 549428034

Phone: 9208822400

Ascension Medical Group-Fox Valley Wisconsin Inc

3329 N Richard St, Appleton, WI 549111063

Phone: 9203802715

Ascension Medical Group-Fox Valley Wisconsin Inc

2700 W 9th Ave, Oshkosh, WI 549047247

Ascension Medical Group-Fox Valley Wisconsin Inc

200 Patriot Dr, Little Chute, WI 541401184

Phone: 9206872800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sarah Bertzyk , APNP

Nurse Practitioner - Family

NPI 1316652373

Advanced Practice Nurse Prescriber

Avery Lebowitz , APNP

Nurse Practitioner - Acute Care

NPI 1619675790

Advanced Practice Nurse Prescriber

Dr. Sudeep Sodhi , MD

Internal Medicine - Gastroenterology

NPI 1679567606

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated August 22, 2024

Recorded as SAMUEL RICKER, PA

NPI Profile Active June 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2024

Registered at 1550 MIDWAY PL, MENASHA, WI 549521165 (Tel: 9207278100)

📍
Updated Business Mailing Address June 27, 2024

Registered at 1550 MIDWAY PL, MENASHA, WI 549521165

👤
Provider Name / Credentials Updated June 27, 2024

Recorded as SAM RICKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194560565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2024
Last Update: August 22, 2024
Sole Proprietor: No

Mailing Address

1550 Midway Pl

Menasha, WI 549521165

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.