NPPES file of Aug 9, 2026

John M. Ricketts, CRNA

Certified Registered Nurse Anesthetist · Kennett, MO

John M. Ricketts, CRNA is a certified registered nurse anesthetist with a practice address in Kennett, Missouri, and NPI 1053520874, issued on May 21, 2007. Check the license (Missouri 060608, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053520874
Name
John M. Ricketts
Credential
CRNA
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License number
060608 MO
Self-reported in NPPES; status is on the state search
Practice location
1231 1St St, Kennett, MO 63857
Phone
(573) 888-4522
Enumerated
May 21, 2007
Record last updated
Aug 6, 2014 (not updated in 12 years: call before relying on the address or phone)
Medicaid IDs
145737701 AR
1053520874 MO
Medicare enrollment
Enrolled (PECOS I20041015000627); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1231 1St St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Connie Gurley, APRN-BC, FNPFamily Nurse Practitioner1104115153
  2. Brooke McCulley, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1841149796
  3. Scott Williams, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1578458907

Verify John M. Ricketts in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 060608
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $28.97

1 payment: food and beverage; the largest payer was Abbvie Inc. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Ricketts$28.97
  2. Specialty average$135.08

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

One hospital affiliation

  1. Pemiscot County Memorial HospitalHayti, MO · Acute Care Hospitals

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).

John M. Ricketts among 2,069 certified registered nurse anesthetist records in Missouri

John M. Ricketts, CRNA is one of 2,069 certified registered nurse anesthetist records with a practice address in Missouri. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 35% of them.

  • NPI issued2007 · 35% of these records are older, 58% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated1976 · median 2013 among the 1,508 with a school on file
  • Record last updated2014 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Certified Registered Nurse Anesthetist providers in Missouri

There are 2,069 certified registered nurse anesthetist records in Missouri.

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Justin Smith, CRNAKennett, MO 638571699141903
  2. Mallory Stith, CRNAKennett, MO 638571639539141
  3. Evelyn Broadhurst, CRNAHayti, MO 638511598975088
  4. John Bollenbacher, CRNAPoplar Bluff, MO 639011952380792
  5. Jacob Briscoe, CRNAPoplar Bluff, MO 639011972736551
  6. Richard CraytonPoplar Bluff, MO 639011356555148
  7. Shane Faltys, CRNAPoplar Bluff, MO 639011164640926
  8. Roger Faltys, CRNAPoplar Bluff, MO 639011255541165

Common questions

What is John M. Ricketts, CRNA's NPI number?

John M. Ricketts, CRNA's National Provider Identifier (NPI) is 1053520874, issued on May 21, 2007. An NPI identifies a provider in billing; it is not a license.

Where is John M. Ricketts, CRNA located?

The NPPES record lists a practice address at 1231 1St St, Kennett, MO, 63857. Phone: (573) 888-4522. Providers update this record themselves, so call before visiting.

How can I verify John M. Ricketts, CRNA's license?

NPPES lists Missouri license number 060608, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.