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BLAIRE RILEY LCSW
NPI 1104449529
Social Worker - Clinical in Sedalia, MO

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
821 WESTWOOD DR, SEDALIA, MO 65301(660) 826-4774(888) 979-8868 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2024, Aug 26, 2022, Aug 10, 2020 and 1 more (4 updates tracked since 2020).

About Blaire Riley Lcsw NPPES

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

BLAIRE RILEY LCSW (NPI 1104449529) is an individual clinical provider in Sedalia, Missouri and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104449529
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBLAIRE RILEYCredential: LCSW
Location Address821 WESTWOOD DRSedalia, MO 65301-2102
Mailing Address821 Westwood DrSedalia, MO 65301-2102 · (660) 826-4774 · Fax (888) 979-8868
Phone(660) 826-4774
Fax(888) 979-8868
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateApril 24, 20244 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1104449529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
821 WESTWOOD DR, Sedalia, MO 65301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica.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

Blaire Riley Lcsw 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 ID8224451000
PECOS Enrollment IDI20200713001545
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 Blaire Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Memorial Hospital District
18 mi
Rural Health
100 S TEBO ST
Windsor, MO 65360
  • Reassigned Medicare billing, Missouri enrollment
  • 220 clinicians in this Medicare group
NPI 1316995939 (660) 647-2147

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 65301 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
$0.00 typical visit price
range $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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.

JASON KINGSOLVER
Dentist
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
REBECCA GUNN-CHRONISTER LPC
Counselor (Professional)
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
NICOLE RENEE MEDLEY D.D.S.
Dentist (General Practice)
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
DR. JUSTIN ROBERT CRAMER M.D.
Family Medicine
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
LAUREN MADELEINE JONIAK RDH
Dental Hygienist
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
BRAEDEN MATHUR DDS
Dentist
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
JENNIFER GAMBER NP-C
Nurse Practitioner (Family)
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774
RILEY ANDERSON DDS
Dentist
821 WESTWOOD DR
SEDALIA, MO 65301
Pettis County (660) 826-4774

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 Blaire Riley's NPI number?

The NPI number for Blaire Riley is 1104449529. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Blaire Riley located?

Blaire Riley practices at 821 Westwood Dr, Sedalia, MO 65301. The listed phone number is (660) 826-4774.

What is Blaire Riley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Blaire Riley enrolled in Medicare?

Yes. Blaire 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 organization bills Medicare for Blaire Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaire Riley reassigns Medicare benefits to Golden Valley Memorial Hospital District (Windsor, MO). 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 Blaire Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blaire Riley accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Blaire 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 Blaire Riley was last updated on April 24, 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.