Individual provider Active NPI

Riley Otten Reed

  • Family Nurse Practitioner
  • Portage, IN
National Provider Identifier
1891428124
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28249452A Issued in IN
Practice address
3176 Lancer St
Portage, IN 46368-4408
Phone
(219) 762-9557
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28249452A IN Primary

Addresses

Primary practice location

3176 Lancer St
Portage, IN 46368-4408

Mailing address

601 Wall St
Valparaiso, IN 46383-2512

Other practice location 1

704 S State Road 2
Hebron, IN 46341-8801
Phone (219) 996-2641

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
I20221027002800 IN Practitioner - Nurse Practitioner 2062889405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Porter-Starke Services Inc. CurrentSince Oct 13, 2022 Accepting new patients
Porter-Starke Services Inc. CurrentSince Oct 13, 2022 Accepting new patients
Porter-Starke Services Inc. Current Accepting new patients
Porter-Starke Services, Inc. Past Accepting new patients
Porter-Starke Services Inc. Past Accepting new patients
Porter Starke Services Past Accepting new patients

Locations

3229 Broadway
Ste 104
Gary, IN 46409
Phone (219) 487-5800

3229 Broadway
Ste 115
Gary, IN 46409
Phone (219) 806-3000

704 S State Road 2
Hebron, IN 46341
Phone (219) 806-3011

1230 W State Road 2
Ste B
La Porte, IN 46350
Phone (219) 362-2145

3176 Lancer St
Portage, IN 46368
Phone (219) 762-7318

3176 Lancer St
Ste B
Portage, IN 46368
Phone (219) 806-3000

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419

Organizations & group practices 7

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 1

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1891428124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 LANCER ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684408",
            "telephone_number": "219-762-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 S State Road 2",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "IN",
            "postal_code": "463418801",
            "country_code": "US",
            "telephone_number": "219-996-2641",
            "fax_number": "219-996-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "RILEY",
        "middle_name": "OTTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28249452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.