Jaime Lyn Riley

Individual provider Active NPI Obstetrics & Gynecology Physician · Maumee, OH

NPI 1033678024 · NPPES record last updated Dec 15, 2025

Key facts

NPI
1033678024
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
34.018266 (OH)
Practice address
660 Beaver Creek Cir Ste 200
Maumee, OH 43537-1746
Phone
(419) 891-6201
Fax
(419) 893-1227
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central Physicians (785 clinicians)

Practice addresses (Care Compare)

660 Beaver Creek Cir
Suite 200
Maumee, OH 43537-1746
Phone (419) 891-6201

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital · Toledo, OH · CCN 360068
  • Physicians Regional Medical Center Hospital · Powell, TN · CCN 440120

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100 (apm)
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TN, OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230816001872 TN Practitioner - Obstetrics/Gynecology 8628305018
I20260128004015 OH Practitioner - Obstetrics/Gynecology 8628305018 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5092TNMDDental Hygienist
34.018266OHMDObstetrics & Gynecology Physician
DO5092TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Current
since Jan 1, 2026
Accepting new patients
Knoxville Hma Physician Management, LLC Obstetrics & Gynecology Current
since Aug 14, 2023
Accepting new patients
Promedica Central Physicians Obstetrics & Gynecology Current
since Jan 1, 2026
Accepting new patients

Locations

660 Beaver Creek Cir
Ste 200
Maumee, OH 43537
Phone (419) 891-6201

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

7557B Dannaher Dr
Ste 225
Powell, TN 37849
Phone (865) 647-3450

Interoperability endpoints

  • Direct secure messaging: jmyers514054@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaime.riley.1@4694.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.018266 OH Yes
Obstetrics & Gynecology Physician 207V00000X DO5092 TN

Addresses

Primary practice location

660 Beaver Creek Cir Ste 200
Maumee, OH 43537-1746

Mailing address

7557B Dannaher Dr Ste 225
Powell, TN 37849-3568
Phone (865) 647-3450

Other names

  • Jaime Lyn Myers Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 15, 2025.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1033678024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557B DANNAHER DR STE 225",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493568",
            "telephone_number": "865-647-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BEAVER CREEK CIR STE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371746",
            "telephone_number": "419-891-6201",
            "fax_number": "419-893-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JAIME",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.018266",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO5092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "MYERS",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maumee, OH

All providers in Maumee, OH · Obstetrics & Gynecology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.