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

KATHLEEN MARIE RIORDAN FNP
NPI 1033984554
Nurse Practitioner - Family in Roseburg, OR

Q: What is Kathleen Riordan's NPI number?

The NPI number for Kathleen Riordan is 1033984554. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Q: What is Kathleen Riordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Riordan was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since November 15, 2023PECOS EnrolledAccepts Medicare Assignment

2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471(541) 677-7200(541) 229-3309 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2026, Nov 14, 2024, Nov 15, 2023 (3 updates tracked since 2023).

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About Kathleen Marie Riordan Fnp NPPES

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

KATHLEEN MARIE RIORDAN FNP (NPI 1033984554) is an individual family provider in Roseburg, Oregon, licensed in Oregon (10034451) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in Sutherlin.

NPPES Registry Identity

NPI1033984554

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHLEEN MARIE RIORDANCredential: FNP

Location Address2570 NW EDENBOWER BLVD STE 100Roseburg, OR 97471-6214

Mailing Address2570 Nw Edenbower Blvd Ste 100Roseburg, OR 97471-6214 · (541) 677-7200 · Fax (541) 229-3309

Phone(541) 677-7200

Fax(541) 229-3309

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 15, 2023

Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1033984554 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 OR · 10034451✔ Licensed in UT · 7923124-4405

2570 NW EDENBOWER BLVD STE 100, Roseburg, OR 97471

Open in Google Maps ↗

Secondary Practice Location 1

Location 1249 Dakota StSutherlin, OR 97479-9908 · Phone (541) 677-7200 · Fax (541) 229-3309

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Marie Riordan Fnp 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 ID8325481864

PECOS Enrollment IDI20240212002336, I20241126002171

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

CHARLENE DAVIS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)