ELGERENE MONIQUE RIDDERHEIM NP
NPI 1750871687
Nurse Practitioner - Family in Fort Wayne, IN

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
6279 E STATE BLVD, FORT WAYNE, IN 46815(260) 492-0951 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Feb 4, 2019, Jan 23, 2019 and 2 more (5 updates tracked since 2018).

About Elgerene Monique Ridderheim Np NPPES

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

ELGERENE MONIQUE RIDDERHEIM NP (NPI 1750871687) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71008116A) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750871687
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELGERENE MONIQUE RIDDERHEIMCredential: NP
Location Address6279 E STATE BLVDFort Wayne, IN 46815-7641
Mailing Address6729 East State BlvdFort Wayne, IN 46815 · (260) 492-0951
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 16, 2018
Last NPPES UpdateNovember 6, 20245 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1750871687 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 IN · 71008116A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71008116A (IN)
6279 E STATE BLVD, Fort Wayne, IN 46815

Other Names 1

Former Name (1)Elgerene Monique Ridderheim Fnp-c

Secondary Practice Locations 2

Location 111050 Parkview Circle DrFort Wayne, IN 46845 · Phone (833) 724-8326
Location 29821 Lima Rd Ste 103Fort Wayne, IN 46818-9281 · Phone (260) 234-5400

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

Elgerene Monique Ridderheim Np 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 ID143570903
PECOS Enrollment IDI20180829001940
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 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.
25 services24 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46815 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 7

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

Pharmacy
6279 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
6279 E STATE BLVD
FORT WAYNE, IN 46815
Pharmacist
6279 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
6279 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
6279 E STATE BLVD
FORT WAYNE, IN 46815
Pharmacist
6279 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
6279 E STATE BLVD
FORT WAYNE, IN 46815

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 Elgerene Ridderheim's NPI number?

The NPI number for Elgerene Ridderheim is 1750871687. It was assigned to this individual provider in the NPPES registry on May 16, 2018. The provider is also known as Elgerene Monique Ridderheim Fnp-C.

Where is Elgerene Ridderheim located?

Elgerene Ridderheim practices at 6279 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 492-0951.

What is Elgerene Ridderheim's specialty?

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

Is Elgerene Ridderheim enrolled in Medicare?

Yes. Elgerene Ridderheim 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 Elgerene Ridderheim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Elgerene Ridderheim 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.

When was this NPI record last updated?

The NPPES record for Elgerene Ridderheim was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.