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JONATHAN RIDER N.P.
NPI 1437526852
Nurse Practitioner - Gerontology in Pekin, IL

Active since September 02, 2015PECOS EnrolledAccepts Medicare Assignment
600 S 13TH ST, SUITE E, PEKIN, IL 61554(309) 353-9709(309) 353-0929 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Rider N.p. NPPES

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

JONATHAN RIDER N.P. (NPI 1437526852) is an individual gerontology provider in Pekin, Illinois, licensed in Illinois (209013212) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1437526852
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameJONATHAN RIDERCredential: N.P.
Location Address600 S 13TH ST, SUITE EPekin, IL 61554-4936
Mailing Address600 S 13th St, Suite EPekin, IL 61554-4936 · (309) 353-9709 · Fax (309) 353-0929
Phone(309) 353-9709
Fax(309) 353-0929
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 2, 2015
Last NPPES UpdateOctober 25, 2016
✔ NPI 1437526852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209013212
600 S 13TH ST, Pekin, IL 61554
Open in Google Maps ↗

Other Identifiers 1

Medicare PINF400335144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Rider N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648588186
PECOS Enrollment IDI20151001002353
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
285 services178 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61554 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers23 claims23 services$5.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$81.24 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$30.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EPSS LLC - CENTRAL SERIES
Emergency Medicine
600 S 13TH ST
PEKIN, IL 61554
Tazewell County (817) 451-4208
MAYCLARE III PC
Internal Medicine
600 S 13TH ST, SUITE E
PEKIN, IL 61554
Tazewell County (309) 353-0473
PEKIN MEMORIAL HOSPITAL
Skilled Nursing Facility
600 S 13TH ST
PEKIN, IL 61554
Tazewell County (309) 353-0756
MARIA RHODORA KABATAY-LEE HO MD
Family Medicine
600 S 13TH ST, SUITE I
PEKIN, IL 61554
Tazewell County (309) 346-1102
MRS. EMMY M THIES BS, RD, LDN
Dietitian, Registered
600 S 13TH ST
PEKIN, IL 61554
Tazewell County (309) 353-0508
PEKIN MEMORIAL HOSPITAL
General Acute Care Hospital
600 S 13TH ST
PEKIN, IL 61554
Tazewell County (309) 347-1151
DR. ADRIENNE Y WILLIAMS M.D.
Anesthesiology
600 S 13TH ST
PEKIN, IL 61554
Tazewell County (309) 347-1151
MICHAEL P HONAN M.D.
Internal Medicine
600 S 13TH ST, SUITE E
PEKIN, IL 61554
Tazewell County (309) 353-0473

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 Jonathan Rider's NPI number?

The NPI number for Jonathan Rider is 1437526852. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Jonathan Rider located?

Jonathan Rider practices at 600 S 13th St Suite E, Pekin, IL 61554. The listed phone number is (309) 353-9709.

What is Jonathan Rider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jonathan Rider enrolled in Medicare?

Yes. Jonathan Rider is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jonathan Rider affiliated with any hospitals?

According to CMS data, Jonathan Rider is affiliated with Proctor Hospital, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Jonathan Rider was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.