Individual provider Active NPI

Riley Quakenbush, PA

  • Physician Assistant
  • Lafayette, IN
National Provider Identifier
1689411076
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10005020A Issued in IN
Practice address
1411 S Creasy LN Ste 120
Lafayette, IN 47905-7433
Phone
(765) 447-4165
Fax
(765) 446-5317
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10005020A IN Primary

Addresses

Primary practice location

1411 S Creasy LN Ste 120
Lafayette, IN 47905-7433

Mailing address

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address riley.quakenbush.1@29985.direct.athenahealth.com Orthopaedics-Indianapolis, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20251009003190 IN Practitioner - Physician Assistant 8628575107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

2548 Cumberland Ave
West Lafayette, IN 47906-4083
Phone (765) 447-4165

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10005020AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Sep 18, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Physician Assistant CurrentSince Sep 18, 2025 Accepting new patients
Trevecca Nazarene University PastSince Jul 1, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc Past Accepting new patients

Locations

8450 Northwest Blvd
Indianapolis, IN 46278

1411 S Creasy Ln
Ste 120
Lafayette, IN 47905
Phone (765) 447-4165

2548 Cumberland Ave
Ste 100
West Lafayette, IN 47906
Phone (765) 447-4165

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1689411076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S CREASY LN STE 120",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057433",
            "telephone_number": "765-447-4165",
            "fax_number": "765-446-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAKENBUSH",
        "first_name": "RILEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005020A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "riley.quakenbush.1@29985.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena Address",
            "affiliationName": "Orthopaedics-Indianapolis, Inc.",
            "address_1": "1411 S Creasy Ln Ste 120",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479057433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.