Active NPI
Melissa Grace Riley, CRNP
- Family Nurse Practitioner
- Andalusia, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-145931
- Practice address
- 135 Medical Park Dr Ste 2B
Andalusia, AL 36420-5352 - Phone
- (855) 527-7246
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-145931 | AL | Primary |
Addresses
Primary practice location
135 Medical Park Dr Ste 2B
Andalusia, AL 36420-5352
Mailing address
14703 Maddox Rd
Andalusia, AL 36420-6532
Phone (334) 488-4808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Medical Park Dr
Suite 2B
Andalusia, AL 36420-5352
Phone (855) 527-7246
4415 US Hwy 331 S
Suite 500
Defuniak Springs, FL 32435-6307
Phone (855) 527-7246
Hospital & facility affiliations
- Andalusia Health
- D W McMillan Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Pain Consultants LLC | Current | Accepting new patients | |
| Gulf Coast Pain Consultants LLC | Current | Accepting new patients | |
| Southern NP Associates, LLC | Current | Accepting new patients | |
| Gulf Coast Pain Consultants LLC | Current | Accepting new patients |
Locations
135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075
408 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-2550
22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712
142 W 3rd St
Luverne, AL 36049
Phone (334) 335-5331
115 W Paulk Ave
Opp, AL 36467
Phone (334) 493-4558
931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301
4415 US Highway 331 S
Ste 500
Defuniak Springs, FL 32435
4901 Market Place Rd
Pensacola, FL 32504
Phone (850) 439-5425
5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800
1040 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-6555
201 Defense Hwy
Ste 205
Annapolis, MD 21401
Interoperability endpoints
- melissa.riley.1@11679.direct.athenahealth.com
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.
-
- Interventional Pain Medicine Physician
- Pensacola, FL
- NPI 1669712287
AL
-
- Adult Health Nurse Practitioner
- Tuscaloosa, AL
- NPI 1407257447
-
- Durable Medical Equipment & Medical Supplies
- Fort Walton Beach, FL
- NPI 1083455299
-
- Pain Medicine (Anesthesiology) Physician
- Pensacola, FL
- NPI 1265099386
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
-
- General Acute Care Hospital
- Brewton, AL
- NPI 1609811538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1801528765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14703 MADDOX RD",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364206532",
"telephone_number": "334-488-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 MEDICAL PARK DR STE 2B",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205352",
"telephone_number": "855-527-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MELISSA",
"middle_name": "GRACE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-145931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.