MS. SHANNON ROSE RILEY
NPI 1134714231
Nurse Practitioner in Brockton, MA

Active since March 02, 2021PECOS Enrolled
63 MAIN ST, BROCKTON, MA 02301(508) 559-6699 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2022, Sep 21, 2021, Mar 2, 2021 (3 updates tracked since 2021).

About Ms. Shannon Rose Riley NPPES

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

MS. SHANNON ROSE RILEY (NPI 1134714231) is an individual nurse practitioner in Brockton, Massachusetts, licensed in Massachusetts (RN2301935) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134714231
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SHANNON ROSE RILEY
Location Address63 MAIN STBrockton, MA 02301-4042
Mailing Address63 Main StBrockton, MA 02301-4042 · (508) 559-6699
Sole ProprietorNo
Enumeration DateMarch 2, 2021
Last NPPES UpdateAugust 12, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1134714231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN2301935
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 NurseTaxonomy 163W00000X · License RN2301935 (MA)
63 MAIN ST, Brockton, MA 02301

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 (PECOS)

Ms. Shannon Rose Riley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
63 MAIN ST
BROCKTON, MA 02301
Dental Hygienist
63 MAIN ST
BROCKTON, MA 02301
Nurse Practitioner (Adult Health)
63 MAIN ST
BROCKTON, MA 02301
Internal Medicine
63 MAIN ST
BROCKTON, MA 02301
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Optometrist
63 MAIN ST
BROCKTON, MA 02301
Registered Nurse
63 MAIN ST
BROCKTON, MA 02301

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 Shannon Riley's NPI number?

The NPI number for Shannon Riley is 1134714231. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Shannon Riley located?

Shannon Riley practices at 63 Main St, Brockton, MA 02301. The listed phone number is (508) 559-6699.

What is Shannon Riley's specialty?

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

Is Shannon Riley enrolled in Medicare?

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

What insurance does Shannon Riley accept?

Health plans from Anthem Blue Cross and Blue Shield list Shannon 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 Shannon Riley was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.