JARED RIDENOUR PA
NPI 1619441177
Physician Assistant in Tulsa, OK

Active since January 17, 2019PECOS EnrolledAccepts Medicare Assignment
6802 S OLYMPIA AVE STE 300, TULSA, OK 74132(918) 749-0762 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2022, Jan 27, 2020, Jan 17, 2019 (3 updates tracked since 2019).

About Jared Ridenour Pa NPPES

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

JARED RIDENOUR PA (NPI 1619441177) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (3021) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619441177
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJARED RIDENOURCredential: PA
Location Address6802 S OLYMPIA AVE STE 300Tulsa, OK 74132-1826
Mailing Address6802 S Olympia Ave Ste 300Tulsa, OK 74132-1826 · (918) 749-0762
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 17, 2019
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
NPI 1619441177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 3021
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.
6802 S OLYMPIA AVE STE 300, Tulsa, OK 74132

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

Jared Ridenour Pa 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 ID2567705544
PECOS Enrollment IDI20190514002330
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.

Areas of Expertise CMS Part B claims 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
103 services72 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
62 services30 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
60 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
59 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Pryor

Acute Care Hospitals · Pryor, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370015
Location111 North Bailey StreetPryor, OK 74361 · Mayes County
Emergency services

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Tulsa Spine & Specialty Hospital

Acute Care Hospitals · Tulsa, OK
OwnershipProprietary
CMS Certification Number370216
Location6901 South Olympia AvenueTulsa, OK 74132 · Tulsa County
Emergency services

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK
OwnershipProprietary
CMS Certification Number370228
Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74132 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
6802 S OLYMPIA AVE STE 300
TULSA, OK 74132

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 Jared Ridenour's NPI number?

The NPI number for Jared Ridenour is 1619441177. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Jared Ridenour located?

Jared Ridenour practices at 6802 S Olympia Ave Ste 300, Tulsa, OK 74132. The listed phone number is (918) 749-0762.

What is Jared Ridenour's specialty?

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

Is Jared Ridenour enrolled in Medicare?

Yes. Jared Ridenour 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 Jared Ridenour accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jared Ridenour 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 Jared Ridenour affiliated with any hospitals?

According to CMS data, Jared Ridenour is affiliated with Hillcrest Medical Center, Hillcrest Hospital Pryor, Hillcrest Hospital South, Tulsa Spine & Specialty Hospital and Bailey Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Jared Ridenour was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.