MR. JERRY RIDER (PA-C) – Physician Assistant, NPI 1194884494

MR. JERRY RIDER (PA-C) is a healthcare provider. based in Air force academy, Colorado. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2594 (TN). The NPI Number for MR. JERRY RIDER (PA-C) is 1194884494

Main info

Male
Name
MR. JERRY RIDER (PA-C)
NPI
1194884494
Phone
(719) 684-3159
Address
10TH MEDICAL GROUP/SGHC
Enumeration Date
6 December 2006
Last Update Date
13 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. JERRY RIDER (PA-C)

  • 10TH MEDICAL GROUP/SGHC

    4102 PINION DR

    AIR FORCE ACADEMY, CO 80840

    Phone: (719) 684-3159

    Type: Mailing

  • 1650 COCHRANE CIR

    FORT CARSON, CO 809134613

    Phone: (719) 526-2361

    Type: Location

  • Northcrest Drive, Springfield, Robertson County, Middle Tennessee, Tennessee, 37172, United States

    SPRINGFIELD, TN 371724065

    Phone: (615) 382-5204

    Fax: (615) 382-4952

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 80840)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. JERRY RIDER (PA-C)'s NPI?
Yes. MR. JERRY RIDER (PA-C) is listed with NPI 1194884494 in the public NPI dataset.
Can I rely on MR. JERRY RIDER (PA-C) being an active provider?
As of the registry snapshot, MR. JERRY RIDER (PA-C) is marked active.
What is MR. JERRY RIDER (PA-C) best known for clinically?
Directory data describes MR. JERRY RIDER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. JERRY RIDER (PA-C) based?
MR. JERRY RIDER (PA-C) is tied to Air Force Academy, Colorado in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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