Individual provider Active NPI

Joshua D Ridder, PA-C

  • Physician Assistant
  • West Point, NE
National Provider Identifier
1821547936
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2064 Issued in NE
Practice address
500 E Decatur St
West Point, NE 68788-1566
Phone
(402) 372-6717
NPI assigned
Sep 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2064 NE Primary

Addresses

Primary practice location

500 E Decatur St
West Point, NE 68788-1566

Mailing address

430 N Monitor St
West Point, NE 68788-1595
Phone (402) 372-6717

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FCS49174@StFrancis.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161130000874 NE Practitioner - Physician Assistant 0446530927 Reassigns benefits to 3 organizations
I20180416001202 IA Practitioner - Physician Assistant 0446530927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Care Services IncGroup PAC ID 4284624909, 51 clinicians

Practice addresses (Care Compare)

430 N Monitor St
West Point, NE 68788-1595
Phone (402) 372-2404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2064NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Care Services Inc Current Accepting new patients
Franciscan Care Services Inc CurrentSince Aug 1, 2021 Accepting new patients
Alegent Creighton Clinic CurrentSince Oct 25, 2016 Accepting new patients
Alegent Creighton Clinic CurrentSince Mar 15, 2018 Accepting new patients
Franciscan Care Services Inc Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Alegent Creighton Clinic CurrentSince Oct 25, 2016 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7710 Mercy Rd
Ste 3000
Omaha, NE 68124
Phone (402) 717-9600

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

500 E Decatur St
West Point, NE 68788
Phone (402) 372-2404

Interoperability endpoints

  • Direct secure messaging: jridder210747@achce.catholichealth.net
  • Direct secure messaging: fcs49174@stfrancis.cernerdirect.com

Organizations & group practices 9

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 2

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1821547936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MONITOR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881595",
            "telephone_number": "402-372-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E DECATUR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881566",
            "telephone_number": "402-372-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FCS49174@StFrancis.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "500 E Decatur St",
            "city": "West Point",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687881566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Point, NE

Sources for this page

Verify at the official NPI Registry.