Active NPI
Patricia Ann Riley, FNP
- Family Nurse Practitioner
- Trenton, ME
National Provider Identifier
1396732087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP81378
- Practice address
- 394 Bar Harbor Rd
Trenton, ME 04605-5807 - Phone
- (207) 667-5899
- Fax
- (207) 667-0184
- NPI assigned
- Sep 29, 2005
- 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 | CNP81378 | ME | Primary |
Addresses
Primary practice location
394 Bar Harbor Rd
Trenton, ME 04605-5807
Mailing address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone (207) 288-5081
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432017899 | Medicaid | ME | |
| R021917 | Other | ME | RN LICENSE |
| UX9404 | Other | ME | MEDICARE NUMBER |
| CNP81378 | Other | ME | APRN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81378 | ME | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1396732087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WAYMAN LN",
"city": "BAR HARBOR",
"state": "ME",
"postal_code": "046091625",
"telephone_number": "207-288-5081",
"fax_number": "207-288-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 BAR HARBOR RD",
"city": "TRENTON",
"state": "ME",
"postal_code": "046055807",
"telephone_number": "207-667-5899",
"fax_number": "207-667-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432017899",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "R021917",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "UX9404",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "CNP81378",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.