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Deron J Ricks, PA

Physician Assistant in Idaho Falls, ID · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639156573

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Registry record

Entity type Individual (Type 1)
Name Deron J Ricks
Credential PA
Sex Male
Practice address 3100 Channing Way, Ste 115, Idaho Falls, ID, 83404
Phone (208) 535-4130
Fax (208) 535-4125
Enumeration date Dec 30, 2005
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA216 (ID) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
PA555 Other ID BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Deron Ricks practice?
The practice location on file with NPPES is in Idaho Falls, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Deron Ricks?
The National Provider Identifier (NPI) for Deron Ricks is 1639156573, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.