Doctor profile · Federal record
Dr. AUDRA RICICA, CRNA
Certified Registered Nurse Anesthetist (CMS: CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)) · Certified Registered Nurse Anesthetist · FORT WAYNE, IN
- NPI 1790769099
- Accepts Medicare
- 27 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5050 N CLINTON ST
FORT WAYNE, IN 468255886
(260) 484-8551
fax (260) 482-5060 - Mailing address
-
5052 N CLINTON ST
FORT WAYNE, IN 468255822
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- October 30, 2018
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Indiana #28188589A · Ohio #RN-252552
- Medicaid (2)
- IN #200979940 · OH #2210333
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790769099. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
15
Distinct HCPCS
1
Medicare allowed
$900
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 15 | 15 | $60 |
In context: peer comparison
Among 26 peers in this city , average services per provider: 24. This provider delivers 0.6× the peer median.