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

Madison Ricketts

Individual provider Medical Physician Assistant · NPI 1700629862

Madison Ricketts is a Physician Assistant in Rochester, New York. Qualified in 2024, 2 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

1415 Portland Ave Ste 400
Rochester, NY 14621-3022
Phone: (585) 922-4200
Fax: (585) 922-4922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 33 Chandler Ave, Batavia, NY 14020-1684 — (585) 344-4700
  • 293 Upper Falls Blvd, Rochester, NY 14605-2184 — (585) 922-0260
  • 222 Alexander St Ste 1100, Rochester, NY 14607-4005 — (585) 922-8585

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 032375 (NY)

Record details

NPI number1700629862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Rochester