GREGORY RIDENOUR
NPI 1447708979
Nurse Practitioner - Neonatal in Fort Wayne, IN
About Gregory Ridenour NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY RIDENOUR (NPI 1447708979) is an individual neonatal provider in Fort Wayne, Indiana, licensed in Ohio (APRN.CNP.019874) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Other Identifiers 1
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)
Gregory Ridenour is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Gregory Ridenour reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 301 clinicians in this Medicare group
Columbus, OH 43205
- Reassigned Medicare billing, Ohio enrollment
- 976 clinicians in this Medicare group
Columbus, OH 43205
- Reassigned Medicare billing, Ohio enrollment
- 1,246 clinicians in this Medicare group
Scottsburg, IN 47170
- Reassigned Medicare billing, Indiana enrollment
- 532 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 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Gregory Ridenour's NPI number?
The NPI number for Gregory Ridenour is 1447708979. It was assigned to this individual provider in the NPPES registry on September 13, 2016.
Where is Gregory Ridenour located?
Gregory Ridenour practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 435-7001.
What is Gregory Ridenour's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Gregory Ridenour enrolled in Medicare?
Yes. Gregory Ridenour is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gregory Ridenour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Ridenour reassigns Medicare benefits to 4 organizations: Lutheran Medical Group LLC (Fort Wayne, IN), Nationwide Children's Hospital (Columbus, OH), Pediatric Academic Association, Inc. (Columbus, OH) and Baptist Health Medical Group Inc (Scottsburg, IN). 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 Gregory Ridenour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gregory Ridenour accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and Molina Healthcare list Gregory Ridenour 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 Gregory Ridenour was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Gregory Ridenour · NPI 1447708979
Neonatal physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 13, 2016.
## Identity
- **NPI:** 1447708979 (Entity type: Individual)
- **Enumerated:** September 13, 2016
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** APRN.CNP.019874 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7950 W JEFFERSON BLVD, Fort Wayne, IN 46804-4140
- **Phone:** (260) 435-7001
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Lutheran Medical Group LLC (NPI 1164662805, Fort Wayne, IN); Nationwide Children's Hospital (NPI 1851179873, Columbus, OH); Pediatric Academic Association, Inc. (NPI 1063419943, Columbus, OH); Baptist Health Medical Group Inc (NPI 1467057042, Scottsburg, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 25, 2025
- **Other identifiers:** Medicaid 0265386 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1447708979) · Data from the CMS NPPES public registry.