Individual provider Active NPI

Heidi Sue Riley, CNP

  • Family Nurse Practitioner
  • Troy, OH
National Provider Identifier
1083186324
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023900 Issued in OH
Practice address
1843 W Main St
Troy, OH 45373-2303
Phone
(937) 208-4120
Fax
(937) 208-4126
NPI assigned
Dec 27, 2018
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023900 OH Primary

Addresses

Primary practice location

1843 W Main St
Troy, OH 45373-2303

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

3006 N County Road 25A Ste 102
Troy, OH 45373-1373
Phone (937) 875-2745

Other practice location 2

200 Kienle Dr
Piqua, OH 45356-4120
Phone (937) 916-2700

Other names 1

  • Heidi Sue Hittepole Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hriley865324@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205003149 OH Practitioner - Nurse Practitioner 8820424062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

200 Kienle Dr
Piqua, OH 45356-4120
Phone (937) 916-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023900OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Alliance Physicians Inc CurrentSince Dec 10, 2022 Accepting new patients
Alliance Physicians Inc CurrentSince Dec 10, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

1 Kettering Way
Ste 200
Piqua, OH 45356
Phone (937) 916-2700

200 Kienle Dr
Piqua, OH 45356
Phone (937) 339-5355

1843 W Main St
Troy, OH 45373
Phone (937) 208-4120

600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350

1 E National Rd
Vandalia, OH 45377
Phone (937) 898-3600

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Interoperability endpoints

  • Direct secure messaging: hriley865324@direct.ketteringhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1083186324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732303",
            "telephone_number": "937-208-4120",
            "fax_number": "937-208-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 N County Road 25A Ste 102",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731373",
            "country_code": "US",
            "telephone_number": "937-875-2745",
            "fax_number": "937-335-9840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Kienle Dr",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453564120",
            "country_code": "US",
            "telephone_number": "937-916-2700",
            "fax_number": "937-773-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "HEIDI",
        "middle_name": "SUE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hriley865324@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "200 Kienle Dr",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "200 Kienle Dr",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HITTEPOLE",
            "middle_name": "SUE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.