Kelly Nicole Ricke, MA, ATC
NPI 1154935435ActiveIndividual· Specialist/Technologist, Athletic Trainer· Eagan, MN
Specialist/Technologist, Athletic Trainer (MA, ATC) in Eagan, Minnesota, licensed in MN and SD, with an NPI issued in September 2020.
Overview
| NPI | 1154935435 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, ATC |
| Sole proprietor | No |
| NPI issued | Sep 3, 2020 |
| Last updated in NPPES | Jun 26, 2026 |
| Certified by provider | Jun 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 3429 | MN |
| Physical Medicine & Rehabilitation, Sports Medicine | 2081S0010X | 0543 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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