Katrina Jane Ricketts, FNP-C | |
520 Mary St Ste 520, Evansville, IN 47710-1682 | |
(812) 424-8231 | |
(812) 435-8794 |
Full Name | Katrina Jane Ricketts |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 520 Mary St Ste 520, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326820895 | NPI | - | NPPES |
7100949430 | Medicaid | KY | |
71014723B | Other | IN | IN CSR |
F11230253 | Other | IN | FNP CERT |
28201849A | Other | IN | REGISTERED INDIANA NURSING LICENSE |
300084520 | Medicaid | IN | |
71014723A | Other | IN | IN STATE LICENSE |
1103804757 | Other | IN | ANTHEM BCBS |
1133226 | Other | KY | REGISTERED KENTUCKY NURSING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71014723A (Indiana) | Primary |
363LF0000X | Nurse Practitioner - Family | 28201849A (Indiana) | Secondary |
Entity Name | Evansville Surgical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497707517 PECOS PAC ID: 1557346723 Enrollment ID: O20040622000449 |
Mailing Address | Practice Location Address |
---|---|
Katrina Jane Ricketts, FNP-C 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231 | Katrina Jane Ricketts, FNP-C 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231 |
Kelly Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Covert Ave, Evansville, IN 47714 Phone: 812-476-9983 Fax: 812-437-6149 | |
Megan E Mayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-492-5055 Fax: 812-402-9857 | |
Valerie A Turpen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1750 Oak Hill Rd, Evansville, IN 47711 Phone: 812-485-2580 Fax: 812-485-2590 | |
Melissa L Attebury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8600 University Blvd Rm Hp0091, Evansville, IN 47712 Phone: 812-465-1250 Fax: 812-465-7170 | |
Angela L Sams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4498 1st Ave, Evansville, IN 47710 Phone: 812-436-7280 Fax: 812-436-7290 | |
Chelsea Miles, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 958c S Kenmore Dr, Evansville, IN 47714 Phone: 812-477-2760 | |
Roseanna L Parkhurst Gatewood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Bellemeade Ave Ste 202, Evansville, IN 47714 Phone: 812-485-5800 |