SHELLI A RIDGE – Family Medicine Physician, NPI 1356629356

SHELLI A RIDGE is a healthcare provider. based in Moraine, Ohio. specializing in FAMILY PRACTICE. They hold a License No. 34011979 (OH). The NPI Number for SHELLI A RIDGE is 1356629356

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
SHELLI A RIDGE
NPI
1356629356
Phone
(937) 848-9010
Address
2912 SPRINGBORO RD W
Enumeration Date
26 July 2011
Last Update Date
6 February 2023

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
5138602888
Graduation Year
2007 (19 years ago)
PAC ID
1658680715
Professional Enrollment ID
I20151013000352
Address ID
OH450699313WE8240XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for SHELLI A RIDGE

  • 2912 SPRINGBORO RD W

    SUITE 201

    MORAINE, OH 454391674

    Phone: (937) 848-9010

    Fax: (937) 848-9017

    Type: Mailing

  • 4403 STATE ROUTE 725

    SUITE D

    BELLBROOK, OH 453052700

    Phone: (937) 848-9010

    Fax: (937) 848-9017

    Type: Location

  • 8240 BECKETT PARK DR STE A

    WEST CHESTER, OH 450699313

    Phone: (513) 860-2888

    Fax: (844) 269-8327

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 144 Open Payments records for all available years, with a total value of $2,678.

Total Amount is formed as General ($2,678) + Research ($0) + Ownership ($0) = $2,678.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($623).

Total Amount

$2,678

General + Research + Ownership

Payments

144

Total payment records

General Amount

$2,678

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2015-10-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151013000352IFamily PracticeOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes374130$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15516$0
36415Insertion of needle into vein for collection of blood sample8056$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7878$0
99213Established patient office or other outpatient visit, 20-29 minutes6643$0
View full utilization report →

Insurance plans in this area (ZIP 45439)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows SHELLI A RIDGE across health systems?
The NPI 1356629356 uniquely identifies SHELLI A RIDGE in U.S. healthcare data.
Is SHELLI A RIDGE's NPI status active today?
Active status means SHELLI A RIDGE's NPI record is not deactivated in the public file.
What services align with SHELLI A RIDGE's listing?
SHELLI A RIDGE's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SHELLI A RIDGE in Moraine, Ohio?
For routing, start with Moraine, Ohio for SHELLI A RIDGE, then verify phone and hours locally.
Can I export SHELLI A RIDGE's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

DR. BARBARA A BENNETT (D.O.)

Family Medicine Physician
2912 SPRINGBORO RD W
NPI: 1003819525

DR. JAMES R FISCO (D.O.)

Family Medicine Physician
2912 SPRINGBORO W STE 201
NPI: 1245233766
Garnet Drive, South Dayton, Baton Rouge, East Baton Rouge Parish, Louisiana, 70805, United States
NPI: 1851396659

JEFFREY B GLEICK (MD)

Family Medicine Physician
Springboro Road, Moraine, Montgomery County, Ohio, 45439, United States
NPI: 1760487599

CHRISTOPHER J LAURICELLA (DO)

Family Medicine Physician
North Main Street, Englewood, Montgomery County, Ohio, 45322, United States
NPI: 1316942063

DAVID D GOLDBERG (D.O.)

Addiction Medicine (Family Medicine) Physician
3033, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States
NPI: 1578563128

CINDY ANN SMITH (D.O.)

Family Medicine Physician
100, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States
NPI: 1538169776

DYRK A VANVALKENBURG (MD)

Family Medicine Physician
3170, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States
NPI: 1104827625

CHANDAN GUPTA (MD)

Family Medicine Physician
20, Overbrook Drive, Monroe, Lemon Township, Butler County, Ohio, 45050, United States
NPI: 1437150927