KELLY RIDGWAY APRN
NPI 1477023141
Nurse Practitioner - Pediatrics in Washington, DC

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(301) 980-3708 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Ridgway Aprn NPPES

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

KELLY RIDGWAY APRN (NPI 1477023141) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1030666) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477023141
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY RIDGWAYCredential: APRN
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address8046 Glendale RdChevy Chase, MD 20815-5901 · (301) 980-3708
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 26, 2018
NPI 1477023141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in DC · RN1030666
111 MICHIGAN AVE NW, Washington, DC 20010

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

Kelly Ridgway Aprn 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 ID5395084115
PECOS Enrollment IDI20190222000086
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 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Kelly Ridgway's NPI number?

The NPI number for Kelly Ridgway is 1477023141. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Kelly Ridgway located?

Kelly Ridgway practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (301) 980-3708.

What is Kelly Ridgway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Ridgway enrolled in Medicare?

Yes. Kelly Ridgway 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.

When was this NPI record last updated?

The NPPES record for Kelly Ridgway was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.