Physician Compare National (NPI:1134512163)

HEALTHCARE PROVIDER: MELISSA RIEDINGER FNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1134512163
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022325521
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150916000883
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIEDINGER
	Individual professional last name
Provider First Name	MELISSA
	Individual professional first name
Provider Middle Name	SUE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1557506383
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1255 HWY 327 E
	Group Practice or individual's line 1 address
City	SILSBEE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	776566007
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4098131677
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450573
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHRISTUS JASPER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y