Active NPI
Krystal N. Riley, APRN
- Family Nurse Practitioner
- Conway, AR
National Provider Identifier
1053810101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005501
- Practice address
- 1500 Museum Rd
Conway, AR 72032-4785 - Phone
- (501) 932-9010
- Fax
- (501) 932-0020
- NPI assigned
- Feb 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005501 | AR | Primary |
Addresses
Primary practice location
1500 Museum Rd
Conway, AR 72032-4785
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224751758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Arkansas College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1159 Main St
Vilonia, AR 72173-9525
Hospital & facility affiliations
- Conway Regional Homecare SVCS
- Elite Home Health
- Conway Regional Medical Center, Inc
- Baptist Health Medical Center North Little Rock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005501 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Past | Accepting new patients |
Locations
1122 Main St
Ste 7
Vilonia, AR 72173
Phone (501) 796-2791
1159 Main St
Vilonia, AR 72173
Phone (501) 796-2791
Interoperability endpoints
- krystal.riley@arcare.directbygreenway.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Conway, AR
- NPI 1841200417
-
- Family Medicine Physician
- Conway, AR
- NPI 1043183544
-
- Rural Health Clinic/Center
- Vilonia, AR
- NPI 1063798858
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1497790042
-
- Home Health Agency
- Conway, AR
- NPI 1154340552
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
-
- Home Health Agency
- Little Rock, AR
- NPI 1447597182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1053810101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534",
"fax_number": "870-347-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MUSEUM RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324785",
"telephone_number": "501-932-9010",
"fax_number": "501-932-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "KRYSTAL",
"middle_name": "N.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "224751758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.