Individual provider Active NPI

Megan Riddick, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1770263170
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352307 Issued in NY
Practice address
725 Irving Ave Ste 600
Syracuse, NY 13210-1688
Phone
(315) 464-5162
NPI assigned
Jul 20, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F352307-01 NY
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 352307 NY
Family Nurse Practitioner 363LF0000X 352307 NY Primary

Addresses

Primary practice location

725 Irving Ave Ste 600
Syracuse, NY 13210-1688

Mailing address

725 Irving Ave
Suite 600
Syracuse, NY 13210-1688
Phone (315) 464-5162

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230922001366 NY Practitioner - Nurse Practitioner 8820442999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates for Women's Medicine PLLCGroup PAC ID 4880677400, 17 clinicians

Practice addresses (Care Compare)

935 James St
Syracuse, NY 13203-2502
Phone (315) 422-2222

Merit-based Incentive Payment System (MIPS)

Final score
79.06 of 100Reported as group
Quality
96.61
Promoting interoperability
100
Improvement activities
40
Cost
31.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F352307-01NYMDFamily Medicine Physician
352307NYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University OB/GYN Associates CurrentSince Oct 23, 2023 Accepting new patients
Associates for Women's Medicine PLLC CurrentSince Oct 28, 2024 Accepting new patients
Anesthesia Affiliate PC PastSince Feb 15, 2018 Accepting new patients

Locations

4302 Medical Center Dr
Ste 302
Fayetteville, NY 13066
Phone (315) 423-9722

792 N Main St
Ste 200B
North Syracuse, NY 13212
Phone (315) 634-1190

792 N Main St
Ste 200D
North Syracuse, NY 13212

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162

792 N Main St
Syracuse, NY 13212
Phone (315) 458-8700

935 James St
Syracuse, NY 13203

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: megan.riddicknp.p1@direct.awm.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1770263170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101688",
            "telephone_number": "315-464-5162",
            "fax_number": "315-464-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE STE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101688",
            "telephone_number": "315-464-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "MEGAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-10-16",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F352307-01",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "352307",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.