MICHELLE A RIDNOUR (MD) – Obstetrics & Gynecology Physician, NPI 1043217607

MICHELLE A RIDNOUR (MD) is a healthcare provider. based in Colorado springs, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 36002 (CO). The NPI Number for MICHELLE A RIDNOUR (MD) is 1043217607

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE A RIDNOUR (MD)
NPI
1043217607
Phone
(719) 634-1532
Address
175 S UNION BLVD
Enumeration Date
28 June 2005
Last Update Date
11 December 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7207335260
Graduation Year
1993 (33 years ago)
PAC ID
0749264562
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20110114000533
Address ID
CO801047419CA4404XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

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Provider Addresses for MICHELLE A RIDNOUR (MD)

  • Printers Park Medical Plaza, 175, South Union Boulevard, Colorado Springs, El Paso County, Colorado, 80920, United States

    STE 220

    COLORADO SPRINGS, CO 809103147

    Phone: (719) 634-1532

    Fax: (719) 634-1715

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Avanos Medical ($109).

Total Amount

$133

General + Research + Ownership

Payments

2

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110114000533IObstetrics/GynecologyCOTBD
I20220603001416IObstetrics/GynecologyMPTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80910)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MICHELLE A RIDNOUR (MD)?
NPI 1043217607 is assigned to MICHELLE A RIDNOUR (MD) under the national enumeration system.
Is MICHELLE A RIDNOUR (MD) active in the national directory?
MICHELLE A RIDNOUR (MD)'s public NPI profile is in an active state.
What does MICHELLE A RIDNOUR (MD) treat or focus on?
Patients typically see MICHELLE A RIDNOUR (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is MICHELLE A RIDNOUR (MD)'s primary listing?
We display Colorado Springs, Colorado because that is what the record indicates for MICHELLE A RIDNOUR (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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