CHARLOTTE E RIDDLE (CRNP) – Family Nurse Practitioner, NPI 1093958779

CHARLOTTE E RIDDLE (CRNP) is a healthcare provider. based in Erie, Pennsylvania. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. SP010001 (PA). The NPI Number for CHARLOTTE E RIDDLE (CRNP) is 1093958779

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
CHARLOTTE E RIDDLE (CRNP)
NPI
1093958779
Phone
(814) 454-1085
Address
2104 ZIMMERLY RD
Enumeration Date
10 April 2009
Last Update Date
14 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144541085
Graduation Year
2008 (18 years ago)
PAC ID
9335293901
Group Practice PAC ID
5698088953
Professional Enrollment ID
I20090817000195
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for CHARLOTTE E RIDDLE (CRNP)

  • 2104, Zimmerly Road, Kearsarge, Millcreek Township, Erie County, Pennsylvania, 16509, United States

    ERIE, PA 165096213

    Phone: (814) 454-1085

    Type: Mailing

  • 3250 W LAKE RD LOWR LEVEL

    ERIE, PA 165053691

    Phone: (814) 454-1085

    Fax: (814) 240-3976

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $269.

Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Braeburn Inc. ($234).

Total Amount

$269

General + Research + Ownership

Payments

16

Total payment records

General Amount

$269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Braeburn Inc.$234
Alkermes, Inc.$34
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: 2009-08-17

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
I20090817000195INurse PractitionerPATBD

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 16509)

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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: 5698088953View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

How is CHARLOTTE E RIDDLE (CRNP) identified in CMS data?
CMS-hosted NPPES data lists CHARLOTTE E RIDDLE (CRNP) with NPI 1093958779.
Does CMS list CHARLOTTE E RIDDLE (CRNP) as active?
Yes — CHARLOTTE E RIDDLE (CRNP) is active in the NPI listing used on this page.
What taxonomy line describes CHARLOTTE E RIDDLE (CRNP)?
For research purposes, treat CHARLOTTE E RIDDLE (CRNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does CHARLOTTE E RIDDLE (CRNP) serve?
CHARLOTTE E RIDDLE (CRNP)'s listing highlights Erie, Pennsylvania; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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