Jill Marie Ridens, RN, RD
Individual provider Active NPI Nurse Practitioner · Anaheim, CA
NPI 1508565110 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1508565110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP95031456 (CA)
- Practice address
- 511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229 - Phone
- (714) 780-0750
- NPI assigned
- Mar 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- College Community Services
Practice addresses (Care Compare)
511 N Brookhurst St
Suite 200
Anaheim, CA 92801-5229
Phone (714) 780-0750
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912003552 | CA | Practitioner - Nurse Practitioner | 0941740203 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1508565110 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Current |
Accepting new patients | |
| College Community Services | Current |
Accepting new patients |
Locations
511 N Brookhurst St
Ste 200
Anaheim, CA 92801
Phone (714) 780-0750
1855 W Katella Ave
Ste 150
Orange, CA 92867
Phone (714) 399-3480
8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95031456 | CA | Yes |
Addresses
Primary practice location
511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229
Mailing address
511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229
Phone (714) 780-0750
Other practice location 1
10762 El Gorra Cir
Fountain Valley, CA 92708-3840
Phone (714) 612-6776
Other providers in Anaheim, CA
- Paula Mary Dennehy Richter
- Alyssa Rickert
- Lana Rickey
- David Elias Rico
- Ride Aid Inc.
- Patricia Ann Riedel
- Kaitlyn Ries
- Brian Paul Riff
- Dennis S Riff
- Shelly Barnes Rimler
All providers in Anaheim, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.