CASEY RIDDELL DO
NPI 1396546214
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since March 24, 2025PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Casey Riddell Do NPPES

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

CASEY RIDDELL DO (NPI 1396546214) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396546214
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCASEY RIDDELLCredential: DO
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address22 Bramhall StPortland, ME 04102-3175 · (207) 662-0111
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
NPI 1396546214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 BRAMHALL ST, Portland, ME 04102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Casey Riddell Do 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.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Hospitalist
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Specialist
22 BRAMHALL ST, DEPT OF OB/GYN
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396546214, enumerated as an "individual" on March 24, 2025.

The provider is located at 22 BRAMHALL ST PORTLAND, ME 04102 and the phone number is (207) 662-0111.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.