DR. TERA RIDDICK
NPI 1437683174
Nurse Practitioner - Family in Hattiesburg, MS
About Dr. Tera Riddick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TERA RIDDICK (NPI 1437683174) is an individual family provider in Hattiesburg, Mississippi, licensed in Texas (AP136023) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tera Riddick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Tera Riddick reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Syracuse, NY 13212
- Reassigned Medicare billing, New York enrollment
- 74 clinicians in this Medicare group
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 75 clinicians in this Medicare group
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Florida, Idaho, Illinois, Kentucky, Michigan, Mississippi, Nebraska, New Mexico, Nevada, Ohio and Texas enrollments
- 99 clinicians in this Medicare group
Bothell, WA 98021
- Reassigned Medicare billing, Washington enrollment
- 207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tera Riddick's NPI number?
The NPI number for Tera Riddick is 1437683174. It was assigned to this individual provider in the NPPES registry on April 19, 2017.
Where is Tera Riddick located?
Tera Riddick practices at 107 Xavier St, Hattiesburg, MS 39401. The listed phone number is (601) 310-9785.
What is Tera Riddick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tera Riddick enrolled in Medicare?
Yes. Tera Riddick is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tera Riddick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tera Riddick reassigns Medicare benefits to 6 organizations: Molina Healthcare Of New York, Inc. (North Syracuse, NY), Molina Healthcare Of Utah Inc (Midvale, UT), Molina Healthcare Of California (Pomona, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA), Molina Care Connections, LLC. (Long Beach, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tera Riddick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tera Riddick accept?
Health plans from UnitedHealthcare list Tera Riddick 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 Tera Riddick was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Tera Riddick · NPI 1437683174
Family physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since April 19, 2017.
## Identity
- **NPI:** 1437683174 (Entity type: Individual)
- **Enumerated:** April 19, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP136023 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 107 XAVIER ST, Hattiesburg, MS 39401-3618
- **Phone:** (601) 310-9785
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of New York, Inc. (NPI 1134622970, North Syracuse, NY); Molina Healthcare Of Utah Inc (NPI 1619486396, Midvale, UT); Molina Healthcare Of California (NPI 1932214228, Pomona, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1437683174) · Data from the CMS NPPES public registry.