ERIKA L RIDER CRNP
NPI 1689279960
Nurse Practitioner - Family in Natrona Heights, PA

Active since December 03, 2020PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
1800 UNION AVE, NATRONA HEIGHTS, PA 15065(724) 230-3420 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 30, 2022, Dec 3, 2020 (2 updates tracked since 2020).

About Erika L Rider Crnp NPPES

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

ERIKA L RIDER CRNP (NPI 1689279960) is an individual family provider in Natrona Heights, Pennsylvania, licensed in Pennsylvania (SP022839) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689279960
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIKA L RIDERCredential: CRNP
Location Address1800 UNION AVENatrona Heights, PA 15065-2201
Mailing Address1229 Taylor AveNew Kensington, PA 15068-5530 · (724) 709-0726
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 3, 2020
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 20, 2025
✔ NPI 1689279960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP022839
1800 UNION AVE, Natrona Heights, PA 15065

Secondary Practice Locations 2

Location 1305 Seventh StNew Kensington, PA 15068-6529 · Phone (724) 339-3900 · Fax (724) 339-3750
Location 24614 William Penn HwyMurrysville, PA 15668-2004 · Phone (724) 733-1414

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

Erika L Rider Crnp 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 ID9830587807
PECOS Enrollment IDI20211025000282
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

2

Medicare enrollment records show Erika Rider reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1719 UNION AVE, SUITE A
Natrona Heights, PA 15065
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Family Medicine
1604 BURTNER RD, SUITE 2100
Natrona Heights, PA 15065
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 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.

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.
136 services107 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15065 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$19.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
1800 UNION AVE, SUITE 401
NATRONA HEIGHTS, PA 15065

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 Erika Rider's NPI number?

The NPI number for Erika Rider is 1689279960. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Erika Rider located?

Erika Rider practices at 1800 Union Ave, Natrona Heights, PA 15065. The listed phone number is (724) 230-3420.

What is Erika Rider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erika Rider enrolled in Medicare?

Yes. Erika Rider 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 Erika Rider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Rider reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Natrona Heights, PA) and Upmc Community Medicine Inc (Natrona Heights, PA). 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 Erika Rider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Erika Rider affiliated with any hospitals?

According to CMS data, Erika Rider is affiliated with Upmc St Margaret.

When was this NPI record last updated?

The NPPES record for Erika Rider was last updated on April 30, 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.