Matthew C Ridder, ARNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44629 Issued in 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

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minneola District Hospital NBR 2Group PAC ID 1355252545, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minneola District Hospital Hospital, Minneola, KS, CCN 171368

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chmridder@chcsks.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gracemed Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1184691693
  Medicare reassignment NPD
• Greenwood County Hospital

  dba Eureka Clinic

  • Critical Access Hospital
  • Eureka, KS
  • NPI 1629044961
  Medicare reassignment NPD
• Minneola District Hospital NBR 2

  • Critical Access Hospital
  • Minneola, KS
  • NPI 1013009828
  Medicare reassignment NPD
• Minneola District Hospital NBR 2

  dba Dodge City Family Care Clinic

  • Rural Health Clinic/Center
  • Dodge City, KS
  • NPI 1376625749

  Family Medicine

  Medicare reassignment NPD
• South Central Kansas Regional Medical Center

  dba South Central Kansas Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
  • NPI 1679672323
  Medicare reassignment
• Gracemed Health Clinic, Inc

  dba GraceMed Downing Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1043646870
  NPD
• Greenwood County Hospital

  dba Greenwood Medical Equipment

  • Critical Access Hospital
  • Eureka, KS
  • NPI 1750687216
  NPD
• Minneola District Hospital NBR 2

  dba Family Care Clinic

  • Clinic/Center
  • Dodge City, KS
  • NPI 1447986757
  NPD
• Minneola District Hospital NBR 2

  dba Fowler Community Clinic

  • Rural Health Clinic/Center
  • Fowler, KS
  • NPI 1700975729

  Family Medicine

  NPD
• South Central Kansas Regional Medical Center

  dba South Central Kansas Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
  • NPI 1790884450
  NPD
• Emergency Services, PA

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1629028881
  NPD (past)
• Greenwood County Hospital

  dba Eureka Clinic

  • Family Medicine Physician
  • Eureka, KS
  • NPI 1861695835
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Minneola District Hospital NBR 2

  • Critical Access Hospital
  • Minneola, KS
  • NPI 1013009828
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1619082815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101126",
            "telephone_number": "316-775-9191",
            "fax_number": "316-775-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S GRAND AVE",
            "city": "SAINT MARYS",
            "state": "KS",
            "postal_code": "665361637",
            "telephone_number": "785-437-3734",
            "fax_number": "785-437-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Main St",
            "address_purpose": "LOCATION",
            "city": "Ulysses",
            "state": "KS",
            "postal_code": "678802135",
            "country_code": "US",
            "telephone_number": "620-356-1261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44629",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "44629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100293270F",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chmridder@chcsks.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "206 S Grand Ave",
            "city": "Saint Marys",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665361637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• LJ3 Drug LLC (St. Marys Pharmacy LTC)
• LJ3 Drug LLC (St. Marys Pharmacy)
• John Neilson Meriwether, MD
• Kimra S Qualls, D.C.
• Patrick D Qualls, D.C.
• Tara Roberts
• Thomas Seiter, MD
• Valerie Catherine Shaw
• St Marys Family Practice, PA
• Wildcat Chiropractic Sports & Wellness Center LLC

• Family Medicine Physician in Saint Marys, KS
• Providers in Saint Marys, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.