Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164476180 Individual Practitioner Female Practitioner

Dr. Beverly J Ricker , MD

Pediatrics • Two Rivers, WI

Professional Overview & Biography Verified Profile Summary

Dr. Beverly Ricker, MD is a registered healthcare professional specializing in Pediatrics in Two Rivers, WI. Practice services are available at 5300 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5300 Memorial Dr

Two Rivers, WI 54241

Telephone 4290759853
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1558395772

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Two Rivers, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Two Rivers, WI (1245 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

Medical Specialties & State Licenses

CMS Verified: 2020-05-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 33359

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License ND 9937

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
647218400 (ND)
Medicaid State Provider ID
32019300 (WI)
Medicaid State Provider ID
13381 (ND)
Commercial Insurance / Payer ID Mnbs #
972S1RI (ND)
Commercial Insurance / Payer ID Preferred One #
DA9061008851 (ND)
Commercial Insurance / Payer ID Mnbs #
972S3RI (ND)
Commercial Insurance / Payer ID Mnbs #
972S2RI (ND)
Commercial Insurance / Payer ID America's Ppo/araz #
24202 (ND)
Commercial Insurance / Payer ID Mnbs #
972S0RI (ND)
Commercial Insurance / Payer ID Ucare #
108971 (ND)

Secondary Practice Locations

401 3rd St Se

Jamestown, ND 584014247

Phone: 7012535300

401 3rd St Se

Jamestown, ND 584014247

Phone: 7012535300

Practice Associates & Co-Workers

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

40 Associated Practitioners
Joanna Smogoleski

Nurse Practitioner

NPI 1013317254
Kaycee Carobine

Physical Therapy Assistant

NPI 1023567930
Lisa Kumbalek , NP

Nurse Practitioner

NPI 1023681350

Nurse Practitioner

Rebecca Rusch , DIABETIC EDUCATOR

Registered Nurse - Diabetes Educator

NPI 1073385050

DIABETICEDUCATOR

NPI 1073620308

Doctor of Medicine (M.D.)

Angela Katsma

Pediatrics

NPI 1093032104

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Pediatrics (License #33359 in WI)

📍
Updated Practice Location October 23, 2019

Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 54241 (Tel: 4290759853)

📍
Updated Business Mailing Address October 23, 2019

Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 542413923 (Tel: 4290759853)

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2016

Registered at 401 3RD ST SE, JAMESTOWN, ND 584014247 (Tel: 7012535300)

📍
Updated Business Mailing Address May 24, 2016

Registered at 401 3RD ST SE, JAMESTOWN, ND 584014247 (Tel: 7012535300)

👤
Provider Name / Credentials Updated May 24, 2016

Recorded as BEVERLY RICKER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Pediatrics (License #9937 in ND)

🟢
Initial NPI Registration & Enumeration May 22, 2006

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: 1164476180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2006
Last Update: May 14, 2020
Sole Proprietor: No

Mailing Address

5300 Memorial Dr

Two Rivers, WI 542413923

Phone: 4290759853

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.