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Jacob James Ridder, PA-C

Medical Physician Assistant in Omaha, NE · enumerated 2013 · practices at Advanced Dermatology of the Midlands PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508291717

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Registry record

Entity type Individual (Type 1)
Name Jacob James Ridder
Credential PA-C
Sex Male
Practice address 12910 Pierce St Ste 120, Omaha, NE, 68144
Phone (402) 933-3770
Fax (402) 933-3633
Enumeration date Sep 6, 2013
Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 1768 (NE) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 002439 (IA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1768 (NE) Primary

Other identifiers

Identifier Type State Issuer
1841673738 Medicaid IA -
10026411700 Medicaid NE -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jacob Ridder practice?
The practice location on file with NPPES is in Omaha, NE. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jacob Ridder?
The National Provider Identifier (NPI) for Jacob Ridder is 1508291717, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.