NPIMap

Individual provider Active NPI

Kelsey Briana Riggio

  • Physician Assistant
  • Rangely, CO
National Provider Identifier
1396365995
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006579 Issued in CO
Practice address
225 Eagle Crest St
Rangely, CO 81648-3105
Phone
(970) 675-5011
NPI assigned
Apr 23, 2020
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006579 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

225 Eagle Crest St
Rangely, CO 81648-3105

Mailing address

225 Eagle Crest Dr
Rangely, CO 81648-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305001603 CO Practitioner - Physician Assistant 3173939782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rangely Hospital DistrictGroup PAC ID 6103714175, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (970) 675-4253

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006579COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rangely Hospital District CurrentSince Feb 1, 2021 Accepting new patients
Rangely Hospital District CurrentSince Feb 1, 2021 Accepting new patients
Rangely Hospital District CurrentSince Feb 1, 2021 Accepting new patients

Locations

225 Eagle Crest Dr
Rangely, CO 81648
Phone (970) 675-4253

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15452/brand/2/csg/1/fhir/r4
  • Direct secure messaging: kelsey.riggio.1@15452.direct.athenahealth.com
  • Direct secure messaging: kelsey.riggio.2@15452.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1396365995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST DR",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816483105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST ST",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816483105",
            "telephone_number": "970-675-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGIO",
        "first_name": "KELSEY",
        "middle_name": "BRIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006579",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rangely, CO

Sources for this page

Verify at the official NPI Registry.