Riley Carlton Wade Grogan

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

232785 Issued in AR

Practice address

104 W State St
Caraway, AR 72419-8553

Phone

(870) 956-0200

NPI assigned

Aug 4, 2025

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Access Medical Clinic Arkansas LTC LLCGroup PAC ID 0547618175, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: riley.grogan.1@15024.direct.athenahealth.com
• Direct secure messaging: riley.grogan.1@29938.direct.athenahealth.com

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.

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • West Fork, AR
  • NPI 1700377520
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Greenbrier, AR
  • NPI 1780246959
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1841154846
  NPD

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1477437283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002",
            "telephone_number": "870-856-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W STATE ST",
            "city": "CARAWAY",
            "state": "AR",
            "postal_code": "724198553",
            "telephone_number": "870-956-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "RILEY",
        "middle_name": "CARLTON WADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "232785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Medical Clinic Arkansas LLC
• Donasha Blair
• Leslie M Brown, APRN
• Caraway Drug L.L.C (Caraway Drug)
• Erin Elizabeth Clay, MCD, CCC-SLP
• Mark S Hahn, DO
• Charity Angela Lane, APRN
• Shawna Larae Miller
• April Ann Nutt, APRN
• Robin Nicole Rea

• Nurse Practitioner in Caraway, AR
• Providers in Caraway, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.