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BLYTHE RIDDLE PA-C
NPI 1194547554
Physician Assistant in Austin, TX

Active since October 28, 2024PECOS Enrolled
14205 N MO PAC EXPY STE 570, AUSTIN, TX 78728(512) 217-3799(469) 312-2506 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Mar 5, 2025, Dec 2, 2024 (3 updates tracked since 2024).

About Blythe Riddle Pa-c NPPES

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

BLYTHE RIDDLE PA-C (NPI 1194547554) is an individual physician assistant in Austin, Texas, licensed in Texas (18440) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194547554
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLYTHE RIDDLECredential: PA-C
Location Address14205 N MO PAC EXPY STE 570Austin, TX 78728-6529
Mailing Address14205 N Mo Pac Expy Ste 570Austin, TX 78728-6529 · Fax (469) 312-2506
Phone(512) 217-3799
Fax(469) 312-2506
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2024
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1194547554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · 18440
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14205 N MO PAC EXPY STE 570, Austin, TX 78728
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

Blythe Riddle Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527594399
PECOS Enrollment IDI20241204002363
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER METOYER MSN, APRN, FNP-C
Nurse Practitioner (Family)
14205 N MO PAC EXPY STE 570, PMB 411939
AUSTIN, TX 78728
Travis County (737) 667-5778
VICTORY WOUND CARE
Registered Nurse (Wound Care)
14205 N MO PAC EXPY STE 570, PMB 411939
AUSTIN, TX 78728
Travis County (737) 667-5566
HEATHER SUE CONNELLY MA, LPCA, LMFTA
Counselor (Mental Health)
14205 N MO PAC EXPY STE 570
AUSTIN, TX 78728
Travis County (512) 348-6226
COREY JONES LPC
Counselor (Professional)
14205 N MO PAC EXPY STE 570
AUSTIN, TX 78728
Travis County (737) 291-7570
SARAH FRY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
14205 N MO PAC EXPY STE 570
AUSTIN, TX 78728
Travis County (512) 229-9038

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 Blythe Riddle's NPI number?

The NPI number for Blythe Riddle is 1194547554. It was assigned to this individual provider in the NPPES registry on October 28, 2024.

Where is Blythe Riddle located?

Blythe Riddle practices at 14205 N Mo Pac Expy Ste 570, Austin, TX 78728. The listed phone number is (512) 217-3799.

What is Blythe Riddle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Blythe Riddle enrolled in Medicare?

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

What insurance does Blythe Riddle accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Blythe 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 Blythe Riddle was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.