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HEATHER RILEY CPNP-PC
NPI 1043966120
Nurse Practitioner - Pediatrics in Kalispell, MT

Active since February 27, 2022PECOS Enrolled
1273 BURNS WAY, KALISPELL, MT 59901(406) 752-8300(406) 752-3542 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2022, Feb 27, 2022 (2 updates tracked since 2022).

About Heather Riley Cpnp-pc NPPES

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

HEATHER RILEY CPNP-PC (NPI 1043966120) is an individual pediatrics provider in Kalispell, Montana, licensed in Montana (NUR-APRN-LIC-192813) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043966120
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHEATHER RILEYCredential: CPNP-PC
Location Address1273 BURNS WAYKalispell, MT 59901-3109
Mailing Address53 W Northview LoopKalispell, MT 59901-3012 · (406) 250-1778
Phone(406) 752-8300
Fax(406) 752-3542
Sole ProprietorYes
Enumeration DateFebruary 27, 2022
Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1043966120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MT · NUR-APRN-LIC-192813
1273 BURNS WAY, Kalispell, MT 59901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Riley Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Heather Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kalispell Regional Medical Center Inc
Same address
Primary Care
1273 BURNS WAY
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1013272459 (406) 752-8300

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 59901 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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 10

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

KALISPELL REGIONAL MEDICAL CENTER INC
Clinic/Center (Primary Care)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
JENNA UPHAM DNP, FNP-BC
Nurse Practitioner (Family)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
KALISPELL REGIONAL MEDICAL CENTER, INC
Clinic/Center (Primary Care)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
NORTHWEST MONTANA SURGICAL ASSOCIATES
Surgery
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-5000
LYNN ANN DYKSTRA M.D.
Pediatrics
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
VALERIE ANN BEEBE APRN, BC
Nurse Practitioner (Family)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
DR. JOHN COLE M.D.
Pediatrics
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
MICHAEL ANTHONY SCHWALLER MD
Pediatrics
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300

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 Heather Riley's NPI number?

The NPI number for Heather Riley is 1043966120. It was assigned to this individual provider in the NPPES registry on February 27, 2022.

Where is Heather Riley located?

Heather Riley practices at 1273 Burns Way, Kalispell, MT 59901. The listed phone number is (406) 752-8300.

What is Heather Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Heather Riley enrolled in Medicare?

Yes. Heather Riley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Riley reassigns Medicare benefits to Kalispell Regional Medical Center Inc (Kalispell, MT). The 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 Heather Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Riley accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Heather 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 Heather Riley was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.