Amy Renee Holmes Riley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71010930A Issued in IN

Practice address

4757 S 7TH St
Terre Haute, IN 47802-4559

Phone

(812) 201-0875

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.riley.1@11356.direct.athenahealth.com

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.

• Union Associated Physicians Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1891028379
  Medicare reassignment Care Compare group NPD
• Hospital & Medical Foundation of Paris, Inc.

  dba Paris Community Hospital

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  Medicare reassignment NPD
• Union Associated Physicians Clinic LLC

  • Dermatology Physician
  • Terre Haute, IN
  • NPI 1407404940
  NPD
• Hospital & Medical Foundation of Paris, Inc.

  dba Chrisman Clinic

  • Rural Health Clinic/Center
  • Chrisman, IL
  • NPI 1447314653
  NPD
• Hospital & Medical Foundation of Paris, Inc.

  dba Paris Clinic

  • Rural Health Clinic/Center
  • Paris, IL
  • NPI 1548334956
  NPD (past)
• Hospital & Medical Foundation of Paris, Inc.

  dba Horizon Health

  • Clinic/Center
  • Paris, IL
  • NPI 1629280367
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1255919338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13180 N 2050TH ST",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624414824",
            "telephone_number": "812-201-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024559",
            "telephone_number": "812-201-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "AMY",
        "middle_name": "RENEE HOLMES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010930A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LHI",
            "affiliation": "N",
            "endpointDescription": "LHI",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "LHI",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4757 S 7th St",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478024559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Ridgway
• Karen Patrice Ridgway, P.T.A.
• Jennifer Layne Rigdon, APRN
• Riley Volunteer Fire Department Inc (Riley Fire Department Inc)
• Riley Volunteer Fire Department, Inc. (Riley Fire Department, Inc.)
• Madeline Celeste-Hope Riley, PA-C
• Harrison Rinzel
• Scott A Ripple, MD
• Travis Risener
• Amy Marie Rissler

• Family Nurse Practitioner in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.

Verify at the official NPI Registry.