RACHEL RILEY
NPI 1194457168
Nurse Practitioner in Fort Wayne, IN

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-7100 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachel Riley NPPES

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

RACHEL RILEY (NPI 1194457168) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71012849A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194457168
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL RILEY
Location Address11050 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1739
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 28, 2022
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
NPI 1194457168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71012849A
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.

11050 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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 and accepts Medicare assignment

Rachel Riley 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 ID8123403524
PECOS Enrollment IDI20220921002850
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.

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services12 patients
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.
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.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

Registered Nurse (Oncology)
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Obstetrics & Gynecology (Gynecologic Oncology)
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Surgery
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

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 Rachel Riley's NPI number?

The NPI number for Rachel Riley is 1194457168. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Rachel Riley located?

Rachel Riley practices at 11050 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-7100.

What is Rachel Riley's specialty?

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

Is Rachel Riley enrolled in Medicare?

Yes. Rachel 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.

What insurance does Rachel Riley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Rachel 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 Rachel Riley affiliated with any hospitals?

According to CMS data, Rachel Riley is affiliated with Parkview Regional Medical Center and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Rachel Riley was last updated on April 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.