NPIMap

Individual provider Active NPI

Riley Glee Eckmann, MD

  • Family Medicine Physician
  • Bloomfield, NE
National Provider Identifier
1447487129
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5978 Issued in NE
Practice address
105 S Broadway St
Bloomfield, NE 68718-4419
Phone
(402) 373-4341
Fax
(402) 373-4344
NPI assigned
Jun 19, 2009
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5978 NE Primary

Addresses

Primary practice location

105 S Broadway St
Bloomfield, NE 68718-4419

Mailing address

301 S Randolph St
Bloomfield, NE 68718-3134
Phone (402) 490-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20120316000217 NE Practitioner - Family PracticePractitioner - Emergency Medicine 2668631268 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bloomfield Medical Clinic, PCGroup PAC ID 5890877831, 4 clinicians
Osmond General Hospital IncGroup PAC ID 4183689227, 7 clinicians

Practice addresses (Care Compare)

105 S Broadway St
Bloomfield, NE 68718-4419
Phone (402) 373-4341

402 N Maple St
Osmond, NE 68765-5726
Phone (402) 748-3393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions11
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Medical Clinic, PC CurrentSince Dec 1, 2012 Accepting new patients
Sacred Heart Health Services Family Medicine CurrentSince Feb 16, 2013 Accepting new patients
Sacred Heart Health Services CurrentSince Feb 16, 2013 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Osmond General Hospital Inc Family Medicine Current Accepting new patients
Osmond General Hospital Inc CurrentSince Jan 20, 2012 Accepting new patients
Bloomfield Medical Clinic Family Medicine Current Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

1503 Main St
Creighton, NE 68729
Phone (402) 358-5700

Interoperability endpoints

  • Direct secure messaging: riley.eckmann@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Osmond General HospitalOsmond, NE, CCN 281347 Hospital Operational/Managerial Control Jun 28, 2018
Osmond General HospitalOsmond, NE, CCN 28Z347 Hospital Operational/Managerial Control Jun 28, 2018
Good Samaritan Society - BloomfieldBloomfield, NE, CCN 285156 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 16, 2017
Jan 16, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1447487129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S RANDOLPH ST",
            "city": "BLOOMFIELD",
            "state": "NE",
            "postal_code": "687183134",
            "telephone_number": "402-490-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BROADWAY ST",
            "city": "BLOOMFIELD",
            "state": "NE",
            "postal_code": "687184419",
            "telephone_number": "402-373-4341",
            "fax_number": "402-373-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMANN",
        "first_name": "RILEY",
        "middle_name": "GLEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "5978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NE

Sources for this page

Verify at the official NPI Registry.