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

Ricky Alexander Perez-Macia

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114763083

Ricky Alexander Perez-Macia is a Physician Assistant in Fredericksburg, Virginia. Qualified in 2024, 2 years ago. Practices with Mary Washington Healthcare Providers LLC, a 261-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

1101 Sam Perry Blvd Ste 400
Fredericksburg, VA 22401-4466
Phone: (540) 741-2865
Fax: (540) 741-2868
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114763083
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401-4466

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 Mary Washington Healthcare Providers Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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