KIERRA RIDDER
NPI 1477438794
Chiropractor in Rockford, IL
About Kierra Ridder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIERRA RIDDER (NPI 1477438794) is an individual chiropractor in Rockford, Illinois, licensed in Illinois (038.014319) and active in the NPI registry since August 2025. She is a graduate of Palmer College Chiropractic - Davenport (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kierra Ridder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kierra Ridder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- 3 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kierra Ridder's NPI number?
The NPI number for Kierra Ridder is 1477438794. It was assigned to this individual provider in the NPPES registry on August 6, 2025.
Where is Kierra Ridder located?
Kierra Ridder practices at 4350 Morsay Dr, Rockford, IL 61107. The listed phone number is (815) 398-4500.
What is Kierra Ridder's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kierra Ridder enrolled in Medicare?
Yes. Kierra Ridder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kierra Ridder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kierra Ridder reassigns Medicare benefits to Spine And Body Renewal PLLC (Rockford, IL). The 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 Kierra Ridder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kierra Ridder was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kierra Ridder · NPI 1477438794
Chiropractor provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since August 6, 2025.
## Identity
- **NPI:** 1477438794 (Entity type: Individual)
- **Enumerated:** August 6, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038.014319 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4350 MORSAY DR, Rockford, IL 61107-4877
- **Phone:** (815) 398-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Spine And Body Renewal PLLC (NPI 1417715285, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2025
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477438794) · Data from the CMS NPPES public registry.