JESSICA LYNN ANDERSON-RIDDELL (ARNP) – Nurse Practitioner, NPI 1073768990
Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for JESSICA LYNN ANDERSON-RIDDELL (ARNP)
2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States
ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS, FL 339071412
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
28930, Trails Edge Boulevard, Bermuda Lago Condos, Bonita Springs, Lee County, Florida, 34134, United States
SUITE 200
BONITA SPRINGS, FL 341347518
Phone: (239) 293-0294
Fax: (239) 992-5785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170626001741 | I | Nurse Practitioner | NC | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 263 | 236 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 169 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 78 | 38 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 50 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 33907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | AL | |
| Diagnostic Radiology | FL | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Hematology, Pathology | NC | |
| Infectious Disease | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Physician Assistant | TX | |
| Rheumatology, Internal Medicine | NC | |
| Pediatric Medicine | NC | |
| O P H T H A L M O L O G Y | NC |
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