Active NPI
Heidi Sue Riley, CNP
- Family Nurse Practitioner
- Troy, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.023900
- 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, 2023
- 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 | 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.023900 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Urgent Care, Inc. | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | 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
- 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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Urgent Care Clinic/Center
- Dayton, OH
- NPI 1134633761
-
dba Kettering Behavioral Medicine Center
- Psychiatry Physician
- Moraine, OH
- NPI 1780852228
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
dba Kettering Health Troy
- General Acute Care Hospital
- Troy, OH
- NPI 1023587045
-
dba Wilson Health
- General Acute Care Hospital
- Sidney, OH
- NPI 1639174204
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.