Martha Y Ridley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008270 Issued in KY

Practice address

1413 N Elm St Ste 201
Henderson, KY 42420-2767

Phone

(270) 827-8662

Fax

(270) 826-8220

NPI assigned

Aug 6, 2013

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

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

Other names 1

• Martha Ridley Dempewolf Former name

Medicare fee-for-service enrollment

Enrolled in KY

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Home Health of Henderson Home health agency, Henderson, KY, CCN 187136
• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdempewolf209229@direct.deaconess.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.

• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688
  Medicare reassignment Care Compare group NPD
• Methodist Health, Inc.

  dba Deaconess Henderson Hospital Providers

  • Hospitalist Physician
  • Henderson, KY
  • NPI 1679718100

  Family

  Medicare reassignment NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic Klutey Park

  • Family Medicine Physician
  • Henderson, KY
  • NPI 1104445014
  NPD
• Methodist Health, Inc.

  dba Methodist Family Medicine of Henderson

  • Family Medicine Physician
  • Henderson, KY
  • NPI 1518127638
  NPD
• Methodist Health, Inc.

  dba Deaconess Henderson Pain Services

  • Pain Clinic/Center
  • Henderson, KY
  • NPI 1780249060
  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310
  NPD

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

• Kentucky Homecare of Henderson, LLC

  dba Caretenders Home Health of Henderson

  • Home Health Agency
  • Henderson, KY
  • NPI 1891929840
  Care Compare affiliation
• Methodist Health, Inc.

  dba Deaconess Henderson Hospital

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1720410327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-631-2412",
            "fax_number": "270-827-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST STE 201",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202767",
            "telephone_number": "270-827-8662",
            "fax_number": "270-826-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "MARTHA",
        "middle_name": "Y",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008270",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1117672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100258970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "DEMPEWOLF",
            "middle_name": "RIDLEY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Renal Life Link Inc (Gardenside Dialysis)
• Denna Reynolds, MS, OTR/L
• Ricardo B Maddela MD PSC
• Julie W Rice, NP
• Sue Carol Richards, SW, PSC
• Gerald R Rightmyer, M.D.
• Katelyn A Rinell, P.A.-C
• Andrew Scott Roberts, RRT
• Lacey N Roberts, APRN, FNP-C
• Misty Ann Rodriguez, COTA/L

• Family Nurse Practitioner in Henderson, KY
• Providers in Henderson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.