Active NPI
Ryan Raymond Riley, CRNA
- Certified Registered Nurse Anesthetist
- Northfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 152951-9
- Practice address
- 2000 North Ave
Northfield, MN 55057-1498 - Phone
- (507) 646-1000
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | R 152951-9 | MN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | APN3269 | SC |
Addresses
Primary practice location
2000 North Ave
Northfield, MN 55057-1498
Mailing address
2000 North Ave
Northfield, MN 55057-1498
Phone (507) 646-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049059800 | Medicaid | MN | |
| AN1592 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 N a Ve
Northfieldm, MN 55057-1498
2000 N Ave
Northfield, MN 55057-1498
Phone (507) 646-1478
4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 152951-9 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northfield Hospital | Current | Accepting new patients |
Locations
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
Organizations & group practices 2
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.
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
- Primary Care Clinic/Center
- Kenyon, MN
- NPI 1518631407
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1457330631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NORTH AVE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571498",
"telephone_number": "507-646-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NORTH AVE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571498",
"telephone_number": "507-646-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "RYAN",
"middle_name": "RAYMOND",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 152951-9",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN3269",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049059800",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1592",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.