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

Nathan E Rider, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1669782413

Nathan E Rider, NURSEPRACTITIONER is a Nurse Practitioner in Lucasville, Ohio. Qualified in 2010, 16 years ago. Practices with Somc Medical Care Foundation, Inc, a 382-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2010

Practice location Address checks out

10 Thomas Hollow Rd
Lucasville, OH 45648-8889
Phone: (740) 259-5699
Fax: (740) 259-2186
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11901 (OH)

Record details

NPI number1669782413
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 14, 2010
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing address1735 27th St Ste B06, Portsmouth, OH 45662-2681

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Somc Medical Care Foundation, Inc. — 382 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lucasville