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SHANNON RILEY
NPI 1174349351
Physician Assistant in Boston, MA

Active since December 03, 2024PECOS Enrolled
175 CAMBRIDGE ST, BOSTON, MA 02114(617) 643-0824 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Mar 13, 2026, Dec 3, 2024 (3 updates tracked since 2024).

About Shannon Riley NPPES

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

SHANNON RILEY (NPI 1174349351) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA102581) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Tufts University School Of Medicine (2026).

NPPES Registry Identity

NPI1174349351
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON RILEY
Location Address175 CAMBRIDGE STBoston, MA 02114-2743
Mailing Address175 Cambridge StBoston, MA 02114-2743
Phone(617) 643-0824
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2026
Enumeration DateDecember 3, 2024
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1174349351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA102581
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
175 CAMBRIDGE ST, Boston, MA 02114
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Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 726-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Riley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143798165
PECOS Enrollment IDI20260507004359
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 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

DANIEL J TOWNSEND M.D.
Ophthalmology
175 CAMBRIDGE ST, C/O PROOPTICAL
BOSTON, MA 02114
Suffolk County (617) 267-7545
DR. BERTRAM ZARINS M.D.
Orthopaedic Surgery (Sports Medicine)
175 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 726-3421
ANNE STYERS VISER PT
Physical Therapist (Orthopedic)
175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114
Suffolk County (617) 643-1230
MR. KYLE JOSEPH RODENHI MS, PT
Physical Therapist
175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114
Suffolk County (617) 643-9999
JESSICA LEVITSKY PTA
Physical Therapy Assistant
175 CAMBRIDGE ST, SUITE 470
BOSTON, MA 02114
Suffolk County (617) 643-9999
JEFFREY KUBLIN OD
Optometrist
175 CAMBRIDGE ST
BOSTON, MA 02114
Suffolk County (617) 523-7006
ORTHOCARE MEDICAL EQUIPMENT, LLC
Durable Medical Equipment & Medical Supplies
175 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 643-0927
KRISTON A GANGULI M.D.
Pediatrics (Pediatric Gastroenterology)
175 CAMBRIDGE ST, CRP 575
BOSTON, MA 02114
Suffolk County (617) 726-1450

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 1174349351. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Shannon Riley located?

Shannon Riley practices at 175 Cambridge St, Boston, MA 02114. The listed phone number is (617) 643-0824.

What is Shannon Riley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Riley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Riley was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.