Ridley Theresa Loree, PAC
NPI 1497431050ActiveIndividual· Physician Assistant· Omaha, NE
Physician Assistant (PAC) in Omaha, Nebraska, trained at University of Nebraska College of Medicine (class of 2024). Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.
Overview
| NPI | 1497431050 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Jun 27, 2023 |
| Last updated in NPPES | Feb 26, 2025 |
| Certified by provider | Feb 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3216 | NE |
| Physician Assistant | 363A00000X | 130521 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IA); Practitioner - Physician Assistant (NE) |
|---|
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physician Assistant |
Medical group
- Orthowest, LLCCouncil Bluffs, IA · 110 clinicians
Hospital affiliation
- Nebraska Orthopaedic HospitalOmaha, NE
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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