HEIDI SUE RILEY CNP
NPI 1083186324
Nurse Practitioner - Family in Troy, OH

Q: What is Heidi Riley's NPI number?

The NPI number for Heidi Riley is 1083186324. It was assigned to this individual provider in the NPPES registry on December 27, 2018. The provider is also known as Heidi Sue Hittepole Cnp.

Q: What is Heidi Riley'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 Heidi Riley was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 27, 2018PECOS EnrolledAccepts Medicare Assignment

1843 W MAIN ST, TROY, OH 45373(937) 208-4120(937) 208-4126 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2022, Jan 22, 2020, Jan 2, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Heidi Sue Riley Cnp NPPES

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

HEIDI SUE RILEY CNP (NPI 1083186324) is an individual family provider in Troy, Ohio, licensed in Ohio (APRN.CNP.023900) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083186324

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEIDI SUE RILEYCredential: CNP

Location Address1843 W MAIN STTroy, OH 45373-2303

Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811

Phone(937) 208-4120

Fax(937) 208-4126

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 27, 2018

Last NPPES UpdateApril 19, 20234 updates tracked since enumeration

NPPES CertifiedApril 19, 2023

✔ NPI 1083186324 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 OH · APRN.CNP.023900

1843 W MAIN ST, Troy, OH 45373

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Other Names 1

Former Name (1)Heidi Sue Hittepole Cnp

Secondary Practice Locations 2

Location 13006 N County Road 25A Ste 102Troy, OH 45373-1373 · Phone (937) 875-2745 · Fax (937) 335-9840

Location 2200 Kienle DrPiqua, OH 45356-4120 · Phone (937) 916-2700 · Fax (937) 773-9810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Heidi Sue Riley Cnp 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 ID8820424062

PECOS Enrollment IDI20200205003149

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

Medicare enrollment records show Heidi Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Physicians Inc

13 mi

Urgent Care

8701 OLD TROY PIKE
Huber Heights, OH 45424

Reassigned Medicare billing, Ohio enrollment
364 clinicians in this Medicare group

NPI 1689077364 (937) 558-3300

Premier Health Urgent Care, Inc.

15 mi

Urgent Care

6700 COMMERCE CENTER DR
Dayton, OH 45414

Reassigned Medicare billing, Ohio enrollment
63 clinicians in this Medicare group

NPI 1134633761 (937) 208-6875

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

211 services102 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

52 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

25 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360013

Location915 West Michigan StreetSidney, OH 45365 · Shelby County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360368

Location600 West Main StreetTroy, OH 45373 · Miami County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 4

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

KELLI HOKE NP

Nurse Practitioner (Family)

1843 W MAIN ST
TROY, OH 45373

Miami County (937) 208-4120

REGINA EMBRADOR PA-C

Physician Assistant

1843 W MAIN ST
TROY, OH 45373

Miami County (937) 208-4020

MAX ALEXANDER PULFER APRN-CNP

Nurse Practitioner (Family)

1843 W MAIN ST
TROY, OH 45373

Miami County (937) 208-4120

AMANDA FALLDORF NP

Nurse Practitioner

1843 W MAIN ST
TROY, OH 45373

Miami County (937) 208-4120

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 Heidi Riley's NPI number?

The NPI number for Heidi Riley is 1083186324. It was assigned to this individual provider in the NPPES registry on December 27, 2018. The provider is also known as Heidi Sue Hittepole Cnp.

Where is Heidi Riley located?

Heidi Riley practices at 1843 W Main St, Troy, OH 45373. The listed phone number is (937) 208-4120.

What is Heidi Riley's specialty?

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

Is Heidi Riley enrolled in Medicare?

Yes. Heidi 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 Heidi Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Riley reassigns Medicare benefits to 2 organizations: Alliance Physicians Inc (Huber Heights, OH) and Premier Health Urgent Care, Inc. (Dayton, OH). 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 Heidi Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Riley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Heidi 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 Heidi Riley affiliated with any hospitals?

According to CMS data, Heidi Riley is affiliated with Wilson Memorial Hospital, Kettering Health Dayton, Upper Valley Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Heidi Riley was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.