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GREGORY RIDENOUR
NPI 1447708979
Nurse Practitioner - Neonatal in Fort Wayne, IN

Active since September 13, 2016PECOS Enrolled
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 435-7001 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2025, Oct 14, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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 and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447708979
Entity TypeIndividualMale
Primary Taxonomy363LN0000X
Provider Legal NameGREGORY RIDENOUR
Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520
Phone(260) 435-7001
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 13, 2016
Last NPPES UpdateApril 25, 20255 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1447708979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in OH · APRN.CNP.019874
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License APRN.CNP.019874 (OH)
7950 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Identifiers 1

Medicaid0265386OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Gregory Ridenour is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688935331
PECOS Enrollment IDI20260406003407
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 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

DR. ANURADHA G BOMMAKANTI M.D.
Internal Medicine (Pulmonary Disease)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
VANESKA BOTTINO DA COSTA M.D.
Pediatrics (Pediatric Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
MISS JACQUELINE SHEPARD
Physician Assistant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
EMERGENCY PROFESSIONALS OF INDIANA, P.C.
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-2699
PAMELA THOMAS MD
Pediatrics
7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Allen County (260) 432-2297
DR. AHDY MESSIHA M.D.
Radiology (Diagnostic Radiology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-1568
LESLIE LEINS PHARMD
Pharmacist (Emergency Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7734
GORDON HENRY BOKHART PHARM D.
Pharmacist
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804
Allen County (260) 435-7718

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.

What insurance does Gregory Ridenour accept?

Health plans from CareSource 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 15 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.