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 18 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 Enrolled

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: November 08, 2026.

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

On this page

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 Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Brian Riddle Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234651654

PECOS Enrollment IDI20251024002494

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.

Medicare Billing Reassignments

Medicare enrollment records show Justin Riddle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stv Sports Medicine & Orthopedics LLC

Same address

Neuromusculoskeletal Medicine, Sports Medicine

805 SAINT VINCENTS DR, STE 100
Birmingham, AL 35205

Reassigned Medicare billing, Alabama enrollment
93 clinicians in this Medicare group

NPI 1467818575 (205) 939-3699

Beaman Physician Services, PC

181 mi

Hospitalist

4220 HARDING PIKE
Nashville, TN 37205

Reassigned Medicare billing, Tennessee enrollment
97 clinicians in this Medicare group

NPI 1487342242 (615) 222-2111

Warner Physician Services PC

182 mi

Hospitalist

2000 CHURCH ST
Nashville, TN 37236

Reassigned Medicare billing, Tennessee enrollment
85 clinicians in this Medicare group

NPI 1770272221 (615) 284-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Orthopaedic Surgery (Sports Medicine)