JONATHAN DRU RIDDLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720085996

JONATHAN DRU RIDDLE (CRNA) is a healthcare provider. based in Ft worth, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APN0000010931 (TN). The NPI Number for JONATHAN DRU RIDDLE (CRNA) is 1720085996

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN DRU RIDDLE (CRNA)
NPI
1720085996
Phone
(817) 734-7980
Address
4916 OVERTON PLZ
Enumeration Date
3 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
8224083092
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20060315000358
Address ID
TX761044110FO1400XAVEX300
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

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for JONATHAN DRU RIDDLE (CRNA)

  • Overton Plaza, Fort Worth, Tarrant County, Texas, 76109, United States

    FT WORTH, TX 761094415

    Phone: (817) 734-7980

    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 43 Open Payments records for all available years, with a total value of $19,314.

Total Amount is formed as General ($19,314) + Research ($0) + Ownership ($0) = $19,314.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($15,720).

Total Amount

$19,314

General + Research + Ownership

Payments

43

Total payment records

General Amount

$19,314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2006-03-15

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
I20060315000358ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 76109)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What unique ID ties claims to JONATHAN DRU RIDDLE (CRNA)?
NPI 1720085996 is assigned to JONATHAN DRU RIDDLE (CRNA) under the national enumeration system.
Does this profile mean JONATHAN DRU RIDDLE (CRNA) is currently active?
Yes — JONATHAN DRU RIDDLE (CRNA) appears active in the national provider directory.
What field does JONATHAN DRU RIDDLE (CRNA) work in?
You can think of JONATHAN DRU RIDDLE (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JONATHAN DRU RIDDLE (CRNA)'s primary listing?
We display Ft Worth, Texas because that is what the record indicates for JONATHAN DRU RIDDLE (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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