MRS. DONNA MARIE CLARK-RIDDLE CRNA
NPI 1629000658
Nurse Anesthetist, Certified Registered in Salisbury, NC

Q: What is Donna Clark-riddle's NPI number?

The NPI number for Donna Clark-riddle is 1629000658. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Donna Clark-riddle's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since July 07, 2006Accepts Medicare Assignment

612 MOCKSVILLE AVE, SALISBURY, NC 28144(704) 210-5661 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Donna Marie Clark-riddle Crna NPPES

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

MRS. DONNA MARIE CLARK-RIDDLE CRNA (NPI 1629000658) is an individual nurse anesthetist, certified registered in Salisbury, North Carolina, licensed in North Carolina (48591) and active in the NPI registry since July 2006. She is affiliated with Onslow Memorial Hospital and is a graduate of Other (1997).

NPPES Registry Identity

NPI1629000658

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. DONNA MARIE CLARK-RIDDLECredential: CRNA

Location Address612 MOCKSVILLE AVESalisbury, NC 28144-2732

Mailing Address1635 Waterford Pointe RdLexington, NC 27292-6566 · (336) 798-0610

Phone(704) 210-5661

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 7, 2006

Last NPPES UpdateOctober 27, 2020

NPPES CertifiedOctober 27, 2020

✔ NPI 1629000658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NC · 48591

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

612 MOCKSVILLE AVE, Salisbury, NC 28144

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Other Identifiers 2

Other430059241NC · Rr Medicare

Medicaid8051337NC

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

Mrs. Donna Marie Clark-riddle Crna 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 ID2961466495

PECOS Enrollment IDI20041115001129

Medicare Billing Reassignment

Medicare enrollment records show Donna Clark-riddle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Onslow Memorial Hospital, Inc.

186 mi

Anesthesiology

317 WESTERN BLVD
Jacksonville, NC 28546

Reassigned Medicare billing, North Carolina enrollment
29 clinicians in this Medicare group

NPI 1689855900 (910) 577-2345

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

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

62 services59 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340042

Location317 Western BoulevardJacksonville, NC 28540 · Onslow County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

DR. JAMES ROBERT CERVIN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)