| Nicole Annmarie Riccardi, CRNA | |
|
142 29th Ave S, Jacksonville Beach, FL 32250-6016 | |
| (678) 549-8962 | |
| Not Available |
| Full Name | Nicole Annmarie Riccardi |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 142 29th Ave S, Jacksonville Beach, Florida |
| 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 |
|---|---|---|---|
| 1780923995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9306864 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunbelt Anesthesia Services, Llc | 9436392438 | 27 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Sunbelt Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205172079 PECOS PAC ID: 9436392438 Enrollment ID: O20130823000172 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Annmarie Riccardi, CRNA 142 29th Ave S, Jacksonville Beach, FL 32250-6016 Ph: (678) 549-8962 | Nicole Annmarie Riccardi, CRNA 142 29th Ave S, Jacksonville Beach, FL 32250-6016 Ph: (678) 549-8962 |
Alexis Kane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-376-4182 Fax: 866-665-2702 | |
Mr. Kevin Heath Echols, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8 Hopson Rd, Jacksonville Beach, FL 32250 Phone: 678-613-1543 | |
Brenda Kay Sharp, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 407-667-0444 Fax: 407-667-4338 |