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

Mrs. Micca R Riedel, ANP-C, GNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1538439385

Mrs. Micca R Riedel, ANP-C, GNP-BC is a Nurse Practitioner in Orange, Texas. Qualified in 2011, 15 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2012
Specialties on file
2

Practice location Address checks out

610 Strickland Dr Ste 130
Orange, TX 77630-4788
Phone: (409) 291-8710
Fax: (409) 247-2105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP121473 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP121473 (TX)

Record details

NPI number1538439385
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C , GNP-BC
Sole proprietorYes
NPI enumeratedJanuary 11, 2012
Last updated in NPPESAugust 13, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services