Active NPI
Riley McKay, CRNA
- Certified Registered Nurse Anesthetist
- Banner Elk, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 008149
- Practice address
- 920 Shawneehaw Ave
Banner Elk, NC 28604-9706 - Phone
- (314) 348-0852
- NPI assigned
- Nov 30, 2022
- Last updated
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 008149 | NC | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 2020018799 | MO |
Addresses
Primary practice location
920 Shawneehaw Ave
Banner Elk, NC 28604-9706
Mailing address
920 Shawneehaw Ave
Banner Elk, NC 28604-9706
Other practice location 1
5198 Little Ship St
Osage Beach, MO 65065-2863
Phone (314) 348-0852
Other names 1
- Riley Ebenroth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 263-4133
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8149 | NC | MD | General Practice Dentistry |
| 2020018799 | MO | MD | Critical Care Medicine Registered Nurse |
| 008149 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Charles a Cannon Jr Memorial Hospital Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Watauga Medical Center
- Hospitalist Physician
- Boone, NC
- NPI 1528134194
-
- Certified Registered Nurse Anesthetist
- Linville, NC
- NPI 1346302783
Nurse Anesthetist, Certified Registered
-
dba Cannon Inpatient Behavioral Health
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
dba Watauga Medical Center CRNA
- Certified Registered Nurse Anesthetist
- Boone, NC
- NPI 1548335581
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Watauga Medical Center
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1346950383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 SHAWNEEHAW AVE",
"city": "BANNER ELK",
"state": "NC",
"postal_code": "286049706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 SHAWNEEHAW AVE",
"city": "BANNER ELK",
"state": "NC",
"postal_code": "286049706",
"telephone_number": "314-348-0852"
}
],
"practiceLocations": [
{
"address_1": "5198 Little Ship St",
"address_purpose": "LOCATION",
"city": "Osage Beach",
"state": "MO",
"postal_code": "650652863",
"country_code": "US",
"telephone_number": "314-348-0852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAY",
"first_name": "RILEY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "008149",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MO",
"license": "2020018799",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RILEY",
"last_name": "EBENROTH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Banner Elk, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.