Ms Kristin Diane Rickelman, NP | |
2081 Bronze Star Dr, Woodland, CA 95776-5423 | |
(530) 668-2600 | |
(530) 661-1027 |
Full Name | Ms Kristin Diane Rickelman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 2081 Bronze Star Dr, Woodland, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285629428 | NPI | - | NPPES |
552017 | Other | CA | RN |
NPF 17161 | Other | CA | NURSE PRACTITIONER FURNISHING NUMBER CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP 17161 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Davis Hospital | Davis, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Ms Kristin Diane Rickelman, NP 3400 Data Dr, Attn Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Ms Kristin Diane Rickelman, NP 2081 Bronze Star Dr, Woodland, CA 95776-5423 Ph: (530) 668-2600 |
Gordon Worley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 | |
Man Lung Wu, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2652 | |
Thomas Ambrosini, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 | |
Richard Jun Meza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 Fax: 530-668-9429 | |
Laura Mazza, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-419-1219 | |
Haley N Texley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1321 Cottonwood St Fl 3, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-661-2410 | |
Mrs. Britta Anne Van Andel, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1321 Cottonwood St Ste 203, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-662-7330 |