Matthew C Ridder, ARNP
Individual provider Active NPI Family Medicine Physician · Saint Marys, KS
NPI 1619082815 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1619082815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44629 (KS)
- Practice address
- 206 S Grand Ave
Saint Marys, KS 66536-1637 - Phone
- (785) 437-3734
- Fax
- (785) 437-6186
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minneola District Hospital NBR 2
Practice addresses (Care Compare)
212 Main St
Minneola, KS 67865-8511
Phone (620) 885-4264
Hospital & facility affiliations
- Minneola District Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20050620000200 | KS | Practitioner - Nurse Practitioner | 1759325889 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Gracemed Health Clinic Inc | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Family Medicine | Current | Accepting new patients |
| Gracemed Health Clinic, Inc | Current |
Accepting new patients | |
| Greenwood County Hospital | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Family Medicine | Current |
Accepting new patients |
| Minneola District Hospital NBR 2 | Current |
Accepting new patients | |
| Greenwood County Hospital | Current |
Accepting new patients | |
| South Central Kansas Regional Medical Center | Current | Accepting new patients | |
| Emergency Services, PA | Past | Accepting new patients | |
| Greenwood County Hospital | Family Medicine | Past | Accepting new patients |
Locations
6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798
2200 Summerlon Cir
Ste A
Dodge City, KS 67801
Phone (620) 371-7300
100 W 16th St
Eureka, KS 67045
Phone (620) 583-5274
212 Main St
Minneola, KS 67865
Phone (620) 885-4202
222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202
222 Main St
Minneola, KS 67865
Phone (620) 885-4202
1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455
1150 N Broadway Ave
Wichita, KS 67214
Interoperability endpoints
- chmridder@chcsks.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 44629 | KS | |
| Family Medicine Physician | 207Q00000X | 44629 | KS | Yes |
Addresses
Primary practice location
206 S Grand Ave
Saint Marys, KS 66536-1637
Mailing address
1306 State St
Augusta, KS 67010-1126
Phone (316) 775-9191
Other practice location 1
120 W 8th St
Onaga, KS 66521-9574
Phone (785) 889-4274
Other practice location 2
505 N Main St
Ulysses, KS 67880-2135
Phone (620) 356-1261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100293270F | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chmridder@chcsks.cernerdirect.com | Direct |
Other providers in Saint Marys, KS
- LJ3 Drug LLC
- LJ3 Drug LLC
- John Neilson Meriwether
- Kimra S Qualls
- Patrick D Qualls
- Tara Roberts
- Thomas Seiter
- Valerie Catherine Shaw
- St Marys Family Practice, PA
- Wildcat Chiropractic Sports & Wellness Center LLC
All providers in Saint Marys, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. 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.