Individual provider Active NPI

Tracy Hughes Riddle, CRNA

  • Certified Registered Nurse Anesthetist
  • Marysville, CA
National Provider Identifier
1669520052
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN152883 Issued in NC
Practice address
726 4TH St
Marysville, CA 95901-5656
Phone
(530) 749-4300
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN152883 NC Primary

Addresses

Primary practice location

726 4TH St
Marysville, CA 95901-5656

Mailing address

325 Bridge St
Colusa, CA 95932-2909
Phone (530) 400-0142

Other practice location 1

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090216000292 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002916152 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Practice addresses (Care Compare)

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3578CAMDClinical Neuropsychologist
RN152883NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC CurrentSince Mar 20, 2018 Accepting new patients
American Specialty Physicians Group Inc CurrentSince Apr 29, 2018 Accepting new patients
Rideout Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Glenn Medical Center, LLC CurrentSince Mar 20, 2018 Accepting new patients
Northstate Plastic Surgery Associates Inc CurrentSince Oct 1, 2019 Accepting new patients
Glenn Medical Center, LLC Current Accepting new patients
Orohealth Corporation a Non Profit Healthcare System Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2021 Accepting new patients
Northstate Plastic Surgery Center Past Accepting new patients
Turlock Anesthesia Medical Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Glenn Medical Center, LLC Past Accepting new patients
Colusa Regional Medical Center Past Accepting new patients

Locations

1260 East Ave
Chico, CA 95926
Phone (530) 345-5900

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

1531 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 674-2434

Organizations & group practices 12

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1669520052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BRIDGE ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322909",
            "telephone_number": "530-400-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 4TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015656",
            "telephone_number": "530-749-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5176 Hill Rd E",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954536300",
            "country_code": "US",
            "telephone_number": "707-262-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "TRACY",
        "middle_name": "HUGHES",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "RN152883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.