Doctor profile · Federal record
Dr. John Ricketts, CRNA
Certified Registered Nurse Anesthetist · Kennett, MO
- NPI 1053520874
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1231 1St St
Kennett, MO 638572527
(573) 888-4522 - Mailing address
-
209 S Main St
Poplar Bluff, MO 639015831
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- August 6, 2014
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Missouri #060608
- Medicaid (2)
- AR #145737701 · MO #1053520874
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053520874. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$29
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $28.97 |
By nature of payment
Frequently asked questions
What is Dr. John Ricketts's medical specialty?
Dr. John Ricketts practices Certified Registered Nurse Anesthetist in Kennett, MO.
Where does Dr. John Ricketts practice?
Dr. John Ricketts practices at 1231 1St St, Kennett, MO 638572527. Office phone: 5738884522.
What is Dr. John Ricketts's NPI?
Dr. John Ricketts's National Provider Identifier (NPI) is 1053520874, issued by NPPES.