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MRS. KAREN L RIDENOUR F.N.P., BC
NPI 1720347933
Nurse Practitioner - Family in Springfield, IL

Active since May 08, 2012PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
701 N FIRST ST MEMORIAL HEALTH SYSTEM, MIDWEST EMERGENCY DEPT SPECIALISTS, SPRINGFIELD, IL 62781(618) 498-7108(618) 498-7919 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Karen L Ridenour F.n.p., Bc NPPES

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

MRS. KAREN L RIDENOUR F.N.P., BC (NPI 1720347933) is an individual family provider in Springfield, Illinois, licensed in Illinois (209009534) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1720347933
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN L RIDENOURCredential: F.N.P., BC
Location Address701 N FIRST ST MEMORIAL HEALTH SYSTEM, MIDWEST EMERGENCY DEPT SPECIALISTSSpringfield, IL 62781-0001
Mailing Address6810 State Route 162 Ste 215Maryville, IL 62062-8566 · (618) 391-6410
Phone(618) 498-7108
Fax(618) 498-7919
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 8, 2012
Last NPPES UpdateJanuary 5, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1720347933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209009534
Also ListedRegistered NurseTaxonomy 163W00000X · License 209009534 (IL)
701 N FIRST ST MEMORIAL HEALTH SYSTEM, Springfield, IL 62781
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1108 W US Highway 40Troy, IL 62294-1836 · Phone (618) 667-1800 · Fax (618) 667-1802
Location 217 Ginger Creek MdwsGlen Carbon, IL 62034-3508 · Phone (618) 656-9777 · Fax (618) 656-1249
Location 3159 E McArthur DrBethalto, IL 62010-1918 · Phone (618) 258-7504 · Fax (618) 258-7542
Location 41103 Belt Line RdCollinsville, IL 62234-4368 · Phone (618) 344-2273 · Fax (618) 344-3034

Other Identifiers 1

Medicaid209009534IL

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

Mrs. Karen L Ridenour F.n.p., Bc 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 ID5092971440
PECOS Enrollment IDI20120730000466
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 2

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.
139 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62781 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

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 Karen Ridenour's NPI number?

The NPI number for Karen Ridenour is 1720347933. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Karen Ridenour located?

Karen Ridenour practices at 701 N First St Memorial Health System Midwest Emergency Dept Specialists, Springfield, IL 62781. The listed phone number is (618) 498-7108.

What is Karen Ridenour's specialty?

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

Is Karen Ridenour enrolled in Medicare?

Yes. Karen 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.

Is Karen Ridenour affiliated with any hospitals?

According to CMS data, Karen Ridenour is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Karen Ridenour was last updated on January 5, 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.