Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justine Ricker, PA-C

Individual provider Physician Assistant · NPI 1891295184

Justine Ricker, PA-C is a Physician Assistant in Orlando, Florida. Qualified in 2017, 9 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
9
Licensed in
FL, OR
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2415 N Orange Ave Ste 601
Orlando, FL 32804-5558
Phone: (407) 303-2070
Fax: (407) 303-2071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-3442

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117109 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA187080 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA187080 (OR)

Record details

NPI number1891295184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2018
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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