National Provider Identifier
Madison Ricketts
Madison Ricketts is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4200.
Profile Overview
- NPI
- 1700629862
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 17, 2024
- Last Updated
- February 04, 2026
Practice Location
- 1415 Portland Ave Ste 400
- Rochester, NY 14621-3022
Phone: (585) 922-4200
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Endpoints
- mricketts400899@direct.rochesterregional.org
Direct Messaging Address | Direct | Other | Rochester, NY 14621
Rochester Regional Health
Full Record
- NPI
- 1700629862
- Entity Type
- Individual
- Last Name
- Ricketts
- First Name
- Madison
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1415 Portland Ave Ste 400
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3022
- Practice Country
- US
- Practice Phone
- (585) 922-4200
- Practice Fax
- (585) 922-4922
- Enumeration Date
- June 17, 2024
- Last Updated
- February 04, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 04, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)