Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIELA DIANNE RILEY FNP-C
NPI 1013975523
Nurse Practitioner - Family in Kenai, AK

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
508 UPLAND ST, KENAI, AK 99611(907) 335-7500 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Mar 20, 2026, Oct 9, 2025 (3 updates tracked since 2025).

About Shiela Dianne Riley Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIELA DIANNE RILEY FNP-C (NPI 1013975523) is an individual family provider in Kenai, Alaska, licensed in Alaska (238083) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1013975523
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIELA DIANNE RILEYCredential: FNP-C
Location Address508 UPLAND STKenai, AK 99611-8026
Mailing AddressPo Box 84101Seattle, WA 98124-5401 · (918) 782-7744
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 3, 2006
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1013975523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AK · 238083✔ Licensed in OK · R0058301
508 UPLAND ST, Kenai, AK 99611

Secondary Practice Locations 2

Location 1206 W Rockwell AveSoldotna, AK 99669-7439 · Phone (907) 335-7500
Location 2One Choctaw WayTalihina, OK 74571 · Phone (918) 567-7000 ext. 6789 · Fax (918) 567-7113

Other Identifiers 1

Medicaid17R5830OK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shiela Dianne Riley Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840270740
PECOS Enrollment IDI20251108000151, I20260528003567
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Shiela Riley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
508 UPLAND ST
Kenai, AK 99611
  • Reassigned Medicare billing, Alaska enrollment
  • 40 clinicians in this Medicare group
Family Medicine
6744 NW CACHE RD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 249 clinicians in this Medicare group
General Acute Care Hospital
1515 NE LAWRIE TATUM RD
Lawton, OK 73507
  • Reassigned Medicare billing, Texas enrollment
  • 347 clinicians in this Medicare group
Primary Care
1127 S GEORGE NIGH EXPY
Mcalester, OK 74501
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Dentist
508 UPLAND ST
KENAI, AK 99611
Marriage & Family Therapist
508 UPLAND ST
KENAI, AK 99611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiela Riley's NPI number?

The NPI number for Shiela Riley is 1013975523. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Shiela Riley located?

Shiela Riley practices at 508 Upland St, Kenai, AK 99611. The listed phone number is (907) 335-7500.

What is Shiela Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shiela Riley enrolled in Medicare?

Yes. Shiela Riley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shiela Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shiela Riley reassigns Medicare benefits to 4 organizations: Kenaitze Indian Tribe (Kenai, AK), Williams Medical Group Practice, LLC (Lawton, OK), Lawton Indian Hospital (Lawton, OK) and Choctaw Nation Of Oklahoma (Mcalester, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shiela Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shiela Riley accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Shiela Riley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shiela Riley was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.