MS. NANCY LEA RIDGLEY (RD,CDE) – Registered Dietitian, NPI 1114057072

MS. NANCY LEA RIDGLEY (RD,CDE) is a healthcare provider. based in Roanoke, Virginia. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD,CDE. They hold a License No. 012704 (MO). The NPI Number for MS. NANCY LEA RIDGLEY (RD,CDE) is 1114057072

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MS. NANCY LEA RIDGLEY (RD,CDE)
NPI
1114057072
Phone
(540) 362-0360
Address
3716 MELROSE AVE NW
Enumeration Date
7 March 2007
Last Update Date
4 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403620360
Graduation Year
1983 (43 years ago)
PAC ID
5991125502
Group Practice PAC ID
1052308632
Professional Enrollment ID
I20201021000952
Address ID
VA240172716RO3716XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

166 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in VA

Provider Addresses for MS. NANCY LEA RIDGLEY (RD,CDE)

  • 3716 MELROSE AVE NW

    ROANOKE, VA 240172716

    Phone: (540) 362-0360

    Fax: (417) 354-1177

    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)

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: 2020-10-21

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
I20201021000952IRegistered Dietitian Or Nutrition ProfessionalVATBD

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 24017)

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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: 1052308632View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerVA
Family PracticeVA
-VA
-VA
Nurse PractitionerVA
Nurse PractitionerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do payers reference MS. NANCY LEA RIDGLEY (RD,CDE)?
For MS. NANCY LEA RIDGLEY (RD,CDE), use NPI 1114057072 as the unique 10-digit identifier.
Is there an active status for MS. NANCY LEA RIDGLEY (RD,CDE)?
For scheduling context, MS. NANCY LEA RIDGLEY (RD,CDE) is shown as active in the registry.
What kind of doctor is MS. NANCY LEA RIDGLEY (RD,CDE)?
MS. NANCY LEA RIDGLEY (RD,CDE) is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. NANCY LEA RIDGLEY (RD,CDE)?
Travel planning: use Roanoke, Virginia as the reference point for MS. NANCY LEA RIDGLEY (RD,CDE), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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