JUSTIN BRIAN RIDDLE APRN
NPI 1588407639
Nurse Practitioner in Birmingham, AL

Q: What is Justin Riddle's NPI number?

The NPI number for Justin Riddle is 1588407639. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Q: What is Justin Riddle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Riddle was last updated on May 5, 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.

Active since June 17, 2024PECOS EnrolledAccepts Medicare Assignment

805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205(205) 939-3699(205) 484-2585 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Mar 10, 2025, Jun 17, 2024 (3 updates tracked since 2024).

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About Justin Brian Riddle Aprn NPPES

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

JUSTIN BRIAN RIDDLE APRN (NPI 1588407639) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-153867) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1588407639

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJUSTIN BRIAN RIDDLECredential: APRN

Location Address805 SAINT VINCENTS DR STE 100Birmingham, AL 35205-1638

Mailing Address805 Saint Vincents Dr Ste 100Birmingham, AL 35205-1638 · (205) 939-3699 · Fax (205) 484-2585

Phone(205) 939-3699

Fax(205) 484-2585

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 17, 2024

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1588407639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-153867

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

805 SAINT VINCENTS DR STE 100, Birmingham, AL 35205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Justin Brian Riddle 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 ID9234651654

PECOS Enrollment IDI20250314001887

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 35205 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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. BAYLOR EMERSON BLICKENSTAFF MD

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