NICOLE RIEDERER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1366012858

NICOLE RIEDERER (CRNA) is a healthcare provider. based in Enumclaw, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R242050 (MD). The NPI Number for NICOLE RIEDERER (CRNA) is 1366012858

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE RIEDERER (CRNA)
NPI
1366012858
Phone
(253) 569-4148
Address
22928 SE 406TH ST
Enumeration Date
28 June 2021
Last Update Date
30 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9144919495
Graduation Year
2023 (3 years ago)
PAC ID
9234583568
Group Practice PAC ID
9335298884
Professional Enrollment ID
I20230920003198
Address ID
WA982011665EV1321XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

974 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MD

Provider Addresses for NICOLE RIEDERER (CRNA)

  • 22928 SE 406TH ST

    ENUMCLAW, WA 980229024

    Phone: (253) 569-4148

    Type: Mailing

  • 824 N CALVERT ST APT 204

    BALTIMORE, MD 212024991

    Phone:

    Type: Mailing

  • 525 N WOLFE ST

    BALTIMORE, MD 212052110

    Phone: (253) 569-2019

    Type: Location

  • 1700 13TH ST

    EVERETT, WA 982011689

    Phone: (253) 569-2019

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Avanos Medical ($46).

Total Amount

$46

General + Research + Ownership

Payments

1

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Avanos Medical$46
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: 2023-09-20

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
I20230920003198ICertified Registered Nurse Anesthetist (Crna)WATBD

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 98022)

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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: 9335298884View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Certified Registered Nurse Anesthetist (Crna)VT
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA

Reviews

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Frequently asked questions

How is NICOLE RIEDERER (CRNA) identified in CMS data?
CMS-hosted NPPES data lists NICOLE RIEDERER (CRNA) with NPI 1366012858.
Does the file indicate NICOLE RIEDERER (CRNA) is practicing under active NPI?
Directory data currently reports NICOLE RIEDERER (CRNA) as active.
What healthcare role does NICOLE RIEDERER (CRNA) hold?
Scheduling teams often label NICOLE RIEDERER (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect NICOLE RIEDERER (CRNA) on a map?
Expect Enumclaw, Washington as a primary anchor for NICOLE RIEDERER (CRNA) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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