Mrs Karen L Ridenour, FNP, BC - Medicare Nurse Practitioner in Springfield, IL

Mrs Karen L Ridenour, FNP, BC is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Illinois. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Anderson Medical Group Llc and her current practice location is 701 N First St Memorial Health System, Midwest Emergency Dept Specialists, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 498-7108.

Mrs Karen L Ridenour is licensed to practice in Illinois (license number 209009534) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720347933.

Contact Information

Mrs Karen L Ridenour, FNP, BC
701 N First St Memorial Health System, Midwest Emergency Dept Specialists,
Springfield, IL 62781-0001
(618) 498-7108
(618) 498-7919

Map and Direction




Provider's Profile

Full NameMrs Karen L Ridenour
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location701 N First St Memorial Health System, Springfield, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Karen L Ridenour graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1720347933
  • Provider Enumeration Date: 05/08/2012
  • Last Update Date: 01/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092971440
  • Enrollment ID: I20120730000466

Medical Identifiers

Medical identifiers for Mrs Karen L Ridenour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720347933NPI-NPPES
209009534MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 209009534 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209009534 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anderson HospitalMaryville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anderson Medical Group Llc5193792018122

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Karen L Ridenour allows following entities to bill medicare on her behalf.
Entity NameAnderson Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700807716
PECOS PAC ID: 5193792018
Enrollment ID: O20040910001137

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Karen L Ridenour is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Karen L Ridenour, FNP, BC
6810 State Route 162 Ste 215,
Maryville, IL 62062-8566

Ph: (618) 391-6410
Mrs Karen L Ridenour, FNP, BC
701 N First St Memorial Health System, Midwest Emergency Dept Specialists,
Springfield, IL 62781-0001

Ph: (618) 498-7108

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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