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Dr. Beverly J Ricker , MD

Pediatrics β€’ Two Rivers, WI

Active NPI 1164476180 Individual Practitioner Female Practitioner
Practice location in NPPES

5300 Memorial Dr
Two Rivers, WI 54241

Call 4290759853 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5300 Memorial Dr

Two Rivers, WI 54241

Telephone 4290759853
Organization at the Same NPPES Address or Phone
Aurora Pharmacy Inc Facility NPI 1558395772

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jamestown, ND. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ricker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ricker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Two Rivers and Wisconsin

4 active clinicians are listed under Pediatrics with a practice address in Two Rivers, WI (1,206 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20160602000220

Enrollment State Jurisdiction

DC

PECOS Control ID

4486608007

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

401 3rd St Se

Jamestown, ND 584014247

Phone: 7012535300

401 3rd St Se

Jamestown, ND 584014247

Phone: 7012535300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Judith Arnold , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1578592572

Doctor of Medicine (M.D.)

NPI 1184327314

Doctor of Optometry

Dr. Urooge Boda , MD

Internal Medicine - Cardiovascular Disease

NPI 1518520253

Doctor of Medicine (M.D.)

Kathleen Boettcher

Nurse Practitioner

NPI 1568838951
Dawn Bolwerk , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1851563332

Advanced Practice Nurse Prescriber

Dr. Scott Caldwell , MD

Obstetrics & Gynecology

NPI 1477511905

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
🏒
Secondary Practice Location Registered May 14, 2020

Additional practice office at 401 3rd St SE, Jamestown, ND 584014247

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Pediatrics (license number reported to NPPES: WI 33359)

πŸ“
Updated Practice Location October 23, 2019

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

πŸ“
Updated Business Mailing Address October 23, 2019

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

βœ…
NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2016

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

πŸ“
Business Mailing Address (Initial Record) May 24, 2016

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

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2016

Recorded as BEVERLY RICKER, MD

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

Pediatrics (license number reported to NPPES: ND 9937)

🟒
Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.