RACHEL A RILEY
NPI 1053482562
Nurse Practitioner - Family in Danvers, MA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
480 MAPLE ST, BEVERLY HOSPITAL AT DANVERS, LMI, DANVERS, MA 01923(978) 304-8400 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachel A Riley NPPES

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

RACHEL A RILEY (NPI 1053482562) is an individual family provider in Danvers, Massachusetts, licensed in Massachusetts (264484) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053482562
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL A RILEY
Location Address480 MAPLE ST, BEVERLY HOSPITAL AT DANVERS, LMIDanvers, MA 01923-4065
Mailing Address480 Maple StDanvers, MA 01923-4065 · (978) 304-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 13, 2006
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1053482562 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
License Licensed in MA · 264484
480 MAPLE ST, Danvers, MA 01923

Accepted 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

Rachel A Riley 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 ID3678572062
PECOS Enrollment IDI20061212000677
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 3

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01923 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers19 claims214 services$18.34 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers20 claims640 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
49 suppliers231 claims976 services$6.03 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers12 claims12 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
37 suppliers94 claims185 services$1.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers607 claims611 services$184.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Physical Therapy)
480 MAPLE ST, SUITE 3A
DANVERS, MA 01923
Anesthesiology (Pain Medicine)
480 MAPLE ST, PAIN MANAGEMENT CENTER
DANVERS, MA 01923
Pediatrics
480 MAPLE ST
DANVERS, MA 01923
Clinic/Center
480 MAPLE ST, CENTER FOR HEALTHY AGING
DANVERS, MA 01923
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
480 MAPLE ST
DANVERS, MA 01923
Nurse Practitioner (Family)
480 MAPLE ST
DANVERS, MA 01923
Internal Medicine (Endocrinology, Diabetes & Metabolism)
480 MAPLE ST
DANVERS, MA 01923
Clinical Nurse Specialist (Psychiatric/Mental Health)
480 MAPLE ST, CENTER FOR HEALTHY AGING
DANVERS, MA 01923

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 Rachel Riley's NPI number?

The NPI number for Rachel Riley is 1053482562. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Rachel Riley located?

Rachel Riley practices at 480 Maple St Beverly Hospital At Danvers, Lmi, Danvers, MA 01923. The listed phone number is (978) 304-8400.

What is Rachel Riley's specialty?

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

Is Rachel Riley enrolled in Medicare?

Yes. Rachel 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.

What insurance does Rachel Riley accept?

Health plans from Anthem Blue Cross and Blue Shield list Rachel 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.

Is Rachel Riley affiliated with any hospitals?

According to CMS data, Rachel Riley is affiliated with Northeast Hospital Corporation, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Rachel Riley was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.