JILL MARIE RIDENS RN, RD
NPI 1508565110
Nurse Practitioner in Anaheim, CA
About Jill Marie Ridens Rn, Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL MARIE RIDENS RN, RD (NPI 1508565110) is an individual nurse practitioner in Anaheim, California, licensed in California (NP95031456) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain Valley, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jill Marie Ridens Rn, Rd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jill Ridens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anaheim, CA 92805
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92805 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 11
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 Jill Ridens's NPI number?
The NPI number for Jill Ridens is 1508565110. It was assigned to this individual provider in the NPPES registry on March 2, 2023.
Where is Jill Ridens located?
Jill Ridens practices at 100 S Anaheim Blvd Ste 150, Anaheim, CA 92805. The listed phone number is (714) 780-0750.
What is Jill Ridens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jill Ridens enrolled in Medicare?
Yes. Jill Ridens 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.
Which organizations bill Medicare for Jill Ridens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Ridens reassigns Medicare benefits to 2 organizations: College Community Services (Anaheim, CA) and Grow Healthcare Group PC (San Jose, CA). 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 Jill Ridens'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 Jill Ridens was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Jill Marie Ridens, RN, RD · NPI 1508565110
Nurse Practitioner physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since March 2, 2023.
## Identity
- **NPI:** 1508565110 (Entity type: Individual)
- **Enumerated:** March 2, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP95031456 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 S ANAHEIM BLVD STE 150, Anaheim, CA 92805-3870
- **Phone:** (714) 780-0750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): College Community Services (NPI 1043354624, Anaheim, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508565110) · Data from the CMS NPPES public registry.