RIDLEY THERESA LOREE PAC
NPI 1497431050
Physician Assistant in Omaha, NE

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
2725 S 144TH ST STE 212, OMAHA, NE 68144(402) 609-3000(402) 609-3808 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ridley Theresa Loree Pac NPPES

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

RIDLEY THERESA LOREE PAC (NPI 1497431050) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (3216) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Nebraska Orthopaedic Hospital, and is a graduate of University Of Nebraska College Of Medicine (2024).

NPPES Registry Identity

NPI1497431050
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRIDLEY THERESA LOREECredential: PAC
Location Address2725 S 144TH ST STE 212Omaha, NE 68144-5253
Mailing Address2725 S 144th St Ste 212Omaha, NE 68144-5253 · (402) 609-3000 · Fax (402) 609-3808
Fax(402) 609-3808
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2024
Enumeration DateJune 27, 2023
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
NPI 1497431050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NE · 3216 Licensed in IA · 130521
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2725 S 144TH ST STE 212, Omaha, NE 68144

Accepted Insurance

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

Ridley Theresa Loree Pac 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 ID4587185525
PECOS Enrollment IDI20250306003569, I20250307002560
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nebraska Orthopaedic Hospital

Acute Care Hospitals · Omaha, NE
OwnershipPhysician
CMS Certification Number280129
Location2808 South 143rd PlazaOmaha, NE 68144 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68144 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
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.

Neurological Surgery
2725 S 144TH ST STE 212
OMAHA, NE 68144
Orthopaedic Surgery (Sports Medicine)
2725 S 144TH ST STE 212
OMAHA, NE 68144
Orthopaedic Surgery (Sports Medicine)
2725 S 144TH ST STE 212
OMAHA, NE 68144
Physician Assistant
2725 S 144TH ST STE 212
OMAHA, NE 68144
Occupational Therapist
2725 S 144TH ST STE 212
OMAHA, NE 68144
Orthopaedic Surgery (Hand Surgery)
2725 S 144TH ST STE 212
OMAHA, NE 68144
Physician Assistant
2725 S 144TH ST STE 212
OMAHA, NE 68144
Physician Assistant
2725 S 144TH ST STE 212
OMAHA, NE 68144

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 Ridley Loree's NPI number?

The NPI number for Ridley Loree is 1497431050. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Ridley Loree located?

Ridley Loree practices at 2725 S 144th St Ste 212, Omaha, NE 68144. The listed phone number is (402) 609-3000.

What is Ridley Loree's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ridley Loree enrolled in Medicare?

Yes. Ridley Loree 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.

What insurance does Ridley Loree accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Ridley Loree 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.

Is Ridley Loree affiliated with any hospitals?

According to CMS data, Ridley Loree is affiliated with Nebraska Orthopaedic Hospital.

When was this NPI record last updated?

The NPPES record for Ridley Loree was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.