MRS. KAREN L RIDENOUR (F.N.P., BC) – Family Nurse Practitioner, NPI 1720347933
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. KAREN L RIDENOUR (F.N.P., BC)
108 W US Highway 40
Troy, IL 622941836
Phone: (618) 667-1800
Fax: (618) 667-1802
Type: Location
159 E McArthur Dr
Bethalto, IL 620101918
Phone: (618) 258-7504
Fax: (618) 258-7542
Type: Location
6810 STATE ROUTE 162 STE 215
MARYVILLE, IL 620628566
Phone: (618) 391-6410
Type: Mailing
701 N FIRST ST MEMORIAL HEALTH SYSTEM
MIDWEST EMERGENCY DEPT SPECIALISTS
SPRINGFIELD, IL 627810001
Phone: (618) 498-7108
Fax: (618) 498-7919
Type: Mailing
17 Ginger Creek Mdws
Glen Carbon, IL 620343508
Phone: (618) 656-9777
Fax: (618) 656-1249
Type: Location
1103 Belt Line Rd
Collinsville, IL 622344368
Phone: (618) 344-2273
Fax: (618) 344-3034
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: 2012-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20120730000466 | I | Nurse Practitioner | IL | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 136 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 62294)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| General Surgery | IL | |
| - | IL | |
| Family Practice | MO | |
| Family Practice | IL |
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