Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janell S Ridenour, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1427100353

Janell S Ridenour, PHYSICIANASSISTANT is a Physician Assistant in Kansas City, Missouri. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
21
Licensed in
KS, MO
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

3100 Broadway Blvd Ste 509
Kansas City, MO 64111-2413
Phone: (816) 531-7373
Fax: (816) 531-1404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2010002166 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 15-01266 (KS)

Record details

NPI number1427100353
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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