Madison Ricketts
NPI 1700629862 · Medical Physician Assistant · Rochester, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison Ricketts is a Medical Physician Assistant provider in Rochester, NY (NPI 1700629862).
Provider details
- NPI number
- 1700629862
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 032375 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 33 Chandler AveBatavia, NY 14020-1684Phone: (585) 344-4700Fax: (585) 344-5454
- 222 Alexander St Ste 1100Rochester, NY 14607-4005Phone: (585) 922-8585Fax: (585) 922-8555
- 293 Upper Falls BlvdRochester, NY 14605-2184Phone: (585) 922-0260Fax: (585) 922-0240
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Madison Ricketts's NPI number?
- Madison Ricketts's National Provider Identifier (NPI) is 1700629862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Ricketts's specialty?
- Madison Ricketts is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Madison Ricketts located?
- Madison Ricketts's practice location on file with NPPES is 1415 Portland Ave Ste 400, Rochester, NY 14621-3022.
- What is Madison Ricketts's phone number?
- The practice phone number listed in the NPPES registry for Madison Ricketts is (585) 922-4200.
- Does Madison Ricketts accept Medicare?
- Madison Ricketts is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison Ricketts's NPI active?
- Yes — Madison Ricketts's NPI (1700629862) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.