Cory Riley, DNP-CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

32400 Issued in TN

Practice address

39 Branch Creek Dr
Jackson, TN 38305-8590

Phone

(731) 571-5889

NPI assigned

Jul 6, 2022

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentenn AnesthesiaGroup PAC ID 4082878079, 5 clinicians

Union City Anesthesia GroupGroup PAC ID 2062577547, 7 clinicians

Rural Health Pain Management LLCGroup PAC ID 8921410341, 35 clinicians

Medical Center Anesthesia, IncGroup PAC ID 2769629187, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130
• West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

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.

• Kentenn Anesthesia

  • Certified Registered Nurse Anesthetist
  • Union City, TN
  • NPI 1346511011

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Medical Center Anesthesia Inc.

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1447591730

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Union City Anesthesia Group

  • Anesthesiology Physician
  • Union City, TN
  • NPI 1144429358

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rural Health Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Forrest City, AR
  • NPI 1265039556

  Single Specialty, TN

  Medicare reassignment Care Compare group NPD
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Critical Access Hospital
  • Ripley, TN
  • NPI 1376175687
  Medicare reassignment NPD
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Emergency Care Clinic/Center
  • Ripley, TN
  • NPI 1962034272

  Single Specialty

  Medicare reassignment NPD
• Northstar Anesthesia of Tennessee, PLLC

  • Anesthesiology Physician
  • McMinnville, TN
  • NPI 1821390451

  Single Specialty

  Medicare reassignment NPD
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, TN
  • NPI 1356973663
  NPD

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

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation
• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation
• Milan General Hospital, Inc.

  dba West Tennessee Healthcare Milan Hospital

  • General Acute Care Hospital
  • Milan, TN
  • NPI 1699765453
  Care Compare affiliation

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1922731199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRANCH CREEK DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058590",
            "telephone_number": "731-571-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRANCH CREEK DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058590",
            "telephone_number": "731-571-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "DNP-CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "32400",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000226738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Rider, NP
• Amy R Riggins, RD, CLC, IBCLC
• Shelli Denise Riggs, M.A. CCC SLP
• Claire E Rikard, M.D.
• Cody Riley, PTA
• Elly K Riley, DO
• Mary Kathryn Riley, RN, FNP
• Retta Riley
• Jacqueline Risley, PHARMD
• Riverside Medical Inc (Quipt Home Medical)

• Certified Registered Nurse Anesthetist in Jackson, TN
• Providers in Jackson, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.