Individual provider Active NPI

Nichole Marie Riley, FNP-C

  • Family Nurse Practitioner
  • California, MD
National Provider Identifier
1609464239
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R259567 Issued in MD
Practice address
44980 Saint Andrews Church Rd Ste a
California, MD 20619-2364
Phone
(855) 910-3278
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R259567 MD Primary
Family Nurse Practitioner 363LF0000X APRN11022945 FL

Addresses

Primary practice location

44980 Saint Andrews Church Rd Ste a
California, MD 20619-2364

Mailing address

4225 Altamont PL Ste 203
White Plains, MD 20695-3065
Phone (301) 375-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251107002964 DC Practitioner - Nurse Practitioner 0941686356 Reassigns benefits to 1 organization
I20251108000025 MD Practitioner - Nurse Practitioner 0941686356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone (301) 290-1499

45870 E Run Dr
Lexington Park, MD 20653-4362
Phone (240) 895-8630

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11022945FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Nov 2, 2025 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Family Medcare, LLC CurrentSince Apr 14, 2025 Accepting new patients
Medstar Urgent Care LLC CurrentSince Nov 2, 2025 Accepting new patients
Medstar Urgent Care LLC CurrentSince Nov 2, 2025 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

44980 Saint Andrews Church Rd
Ste A
California, MD 20619

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

4225 Altamont Pl
Ste 203
White Plains, MD 20695
Phone (301) 375-8080

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1609464239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PL STE 203",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953065",
            "telephone_number": "301-375-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44980 SAINT ANDREWS CHURCH RD STE A",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192364",
            "telephone_number": "855-910-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R259567",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

Verify at the official NPI Registry.