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

Mr. Mark A Ricketts, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1801132782

Mr. Mark A Ricketts, PMHNP is a Nurse Practitioner in West Babylon, New York. Qualified in 2022, 4 years ago. Practices with Mercy Medical Center, a 83-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2012
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1565 Herzel Blvd
West Babylon, NY 11704-4234
Phone: (646) 649-6840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F404433 (NY)

Record details

NPI number1801132782
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedDecember 20, 2012
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mercy Medical Center — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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