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.
Source: public NPPES record, last updated March 31, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1700629862
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 17, 2024
- Last Updated
- March 31, 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)
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Biography
Madison Ricketts, PA-C, is a physician assistant employed by Rochester Regional Health and affiliated with Rochester General Hospital. Her listed credentials include National Commission on Certification of Physician Assistants certification in 2024 and a Master of Science from Wagner College in 2024.
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
- March 31, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 31, 2026
- Taxonomies
- Medical Physician Assistant (363AM0700X)