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KRISTIN RIDER PA-C
NPI 1801912258
Physician Assistant - Medical in Cary, NC

Active since March 21, 2007PECOS Enrolled
580 NEW WAVERLY PL, SUITE 120, CARY, NC 27511(919) 858-8360(919) 858-8408 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Rider Pa-c NPPES

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

KRISTIN RIDER PA-C (NPI 1801912258) is an individual medical provider in Cary, North Carolina, licensed in North Carolina (104124) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801912258
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTIN RIDERCredential: PA-C
Location Address580 NEW WAVERLY PL, SUITE 120Cary, NC 27511-7406
Mailing Address580 New Waverly Pl, Suite 120Cary, NC 27511-7406 · (919) 858-8360 · Fax (919) 858-8408
Phone(919) 858-8360
Fax(919) 858-8408
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801912258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 104124
580 NEW WAVERLY PL, Cary, NC 27511
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Rider Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

GREGORY C FEDERICO ORTHOTIC FITTER
Orthotic Fitter
580 NEW WAVERLY PL, SUITE 140
CARY, NC 27511
Wake County (919) 233-2060

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 Kristin Rider's NPI number?

The NPI number for Kristin Rider is 1801912258. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Kristin Rider located?

Kristin Rider practices at 580 New Waverly Pl Suite 120, Cary, NC 27511. The listed phone number is (919) 858-8360.

What is Kristin Rider's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristin Rider enrolled in Medicare?

Yes. Kristin Rider is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Rider was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.