JORDAN RIDDLE PA-C
NPI 1750111993
Physician Assistant in Wilson, NC

Q: What is Jordan Riddle's NPI number?

The NPI number for Jordan Riddle is 1750111993. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Q: What is Jordan Riddle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Riddle was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 02, 2024PECOS EnrolledAccepts Medicare Assignment

1801 GLENDALE DR SW, WILSON, NC 27893(252) 237-3141(252) 220-9641 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2026, Apr 7, 2026, Aug 12, 2025 and 1 more (4 updates tracked since 2024).

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About Jordan Riddle Pa-c NPPES

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

JORDAN RIDDLE PA-C (NPI 1750111993) is an individual physician assistant in Wilson, North Carolina, licensed in North Carolina (0010-15079) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750111993

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJORDAN RIDDLECredential: PA-C

Location Address1801 GLENDALE DR SWWilson, NC 27893-4401

Mailing Address1801 Glendale Dr SwWilson, NC 27893-4499 · Fax (252) 220-9641

Phone(252) 237-3141

Fax(252) 220-9641

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 2, 2024

Last NPPES UpdateMay 13, 20264 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1750111993 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 NC · 0010-15079

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.

1801 GLENDALE DR SW, Wilson, NC 27893

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Jordan Riddle Pa-c 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 ID8426555343

PECOS Enrollment IDI20251008000533

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

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 14

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

JACQUELINE R COSTELLO DNP, APRN, CPNP

Nurse Practitioner (Pediatrics)