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JENTRY DANIELLE RIDDLE PA
NPI 1003849837
Physician Assistant - Medical in Killeen, TX

Active since July 07, 2006PECOS Enrolled
4204 EAST STAN SCHLEUTER LOOP, KILLEEN, TX 76542(254) 690-2800(254) 690-5401 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jentry Danielle Riddle Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENTRY DANIELLE RIDDLE PA (NPI 1003849837) is an individual medical provider in Killeen, Texas, licensed in Texas (PA05748) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003849837
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENTRY DANIELLE RIDDLECredential: PA
Location Address4204 EAST STAN SCHLEUTER LOOPKilleen, TX 76542-8352
Mailing Address1201 Sam Bass RoadRound Rock, TX 78681-4137 · (512) 388-1861 · Fax (512) 388-0373
Phone(254) 690-2800
Fax(254) 690-5401
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 15, 2009
✔ NPI 1003849837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA05748
Also ListedPhysician AssistantTaxonomy 363A00000X · License MP00154600 (NJ), PA05748 (TX)
4204 EAST STAN SCHLEUTER LOOP, Killeen, TX 76542
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Other Names 1

Former Name (1)Jentry Danielle Andrews

Other Identifiers 5

Medicare PIN8K9597TX
Medicare PIN8K9596TX
Medicare UPINQ65880
Medicaid1991747-02TX
Medicaid1991747-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jentry Danielle Riddle Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims773 services$0.04 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers15 claims1,105 services$0.83 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers20 claims20 services$24.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jentry Riddle's NPI number?

The NPI number for Jentry Riddle is 1003849837. It was assigned to this individual provider in the NPPES registry on July 7, 2006. The provider is also known as Jentry Danielle Andrews.

Where is Jentry Riddle located?

Jentry Riddle practices at 4204 East Stan Schleuter Loop, Killeen, TX 76542. The listed phone number is (254) 690-2800.

What is Jentry Riddle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jentry Riddle enrolled in Medicare?

Yes. Jentry Riddle is registered in the Medicare PECOS enrollment system.

What insurance does Jentry Riddle accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Jentry Riddle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jentry Riddle was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.