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RILEY NIEBUHR FNP
NPI 1093466245
Nurse Practitioner in Rice Lake, WI

Active since January 10, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1700 W STOUT ST, RICE LAKE, WI 54868(715) 234-1515 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2022, Apr 13, 2022, Jan 10, 2022 (3 updates tracked since 2022).

About Riley Niebuhr Fnp NPPES

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

RILEY NIEBUHR FNP (NPI 1093466245) is an individual nurse practitioner in Rice Lake, Wisconsin, licensed in Wisconsin (11893) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and maintains a secondary practice location in Hayward.

NPPES Registry Identity

NPI1093466245
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRILEY NIEBUHRCredential: FNP
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address1700 W Stout StRice Lake, WI 54868-5000 · (715) 236-8100 · Fax (715) 236-8104
Phone(715) 234-1515
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 10, 2022
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1093466245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 11893
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 294802 (WI)
1700 W STOUT ST, Rice Lake, WI 54868
Open in Google Maps ↗

Secondary Practice Location 1

Location 111040 N State Road 77Hayward, WI 54843-3606 · Phone (715) 934-4321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan.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

Riley Niebuhr 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 ID2062899131
PECOS Enrollment IDI20220510002133
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 Riley Niebuhr reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeview Medical Center Inc Of Rice Lake
Same address
Clinic/Center
1700 W STOUT ST
Rice Lake, WI 54868
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1790320687 (715) 236-8100
Mchs Hospitals Inc
31 mi
Critical Access
1200 PORT ARTHUR RD
Ladysmith, WI 54848
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1952890873 (715) 532-5561
Medical Services, Inc
46 mi
Critical Access
11040 N STATE ROAD 77
Hayward, WI 54843
  • Reassigned Medicare billing, Wisconsin enrollment
  • 104 clinicians in this Medicare group
NPI 1912992827 (715) 934-4321
Marshfield Clinic Inc
97 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54868 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

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.

THOMAS G GERBER JR. MD
Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
MRS. LINDSEY MARIE MORAVCHIK PA
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
WILLIAM A SMITH MD
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
MICHELE C. BYRON MD
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
CHRISTINE KESSLER
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 234-1515
LARA CHARITY STAUNER APNP
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-6159
ALBOURY SOW M.D.
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-6291

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 Riley Niebuhr's NPI number?

The NPI number for Riley Niebuhr is 1093466245. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Riley Niebuhr located?

Riley Niebuhr practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 234-1515.

What is Riley Niebuhr's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Riley Niebuhr enrolled in Medicare?

Yes. Riley Niebuhr 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 Riley Niebuhr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Niebuhr reassigns Medicare benefits to 4 organizations: Lakeview Medical Center Inc Of Rice Lake (Rice Lake, WI), Mchs Hospitals Inc (Ladysmith, WI), Medical Services, Inc (Hayward, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Riley Niebuhr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riley Niebuhr accept?

Health plans from Anthem Blue Cross and Blue Shield and Sanford Health Plan list Riley Niebuhr 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 Riley Niebuhr affiliated with any hospitals?

According to CMS data, Riley Niebuhr is affiliated with Marshfield Medical Center - Rice Lake and Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Riley Niebuhr was last updated on November 1, 2022. 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.