SUSAN T RILEY NP
NPI 1285100297
Nurse Practitioner in Columbia, MD

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045(410) 837-2050 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2021, Oct 17, 2018 (2 updates tracked since 2018).

About Susan T Riley Np NPPES

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

SUSAN T RILEY NP (NPI 1285100297) is an individual nurse practitioner in Columbia, Maryland, licensed in Maryland (R186651) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Perth Amboy, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285100297
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN T RILEYCredential: NP
Location Address5500 KNOLL NORTH DR STE 370Columbia, MD 21045-2393
Mailing Address1111 N Charles StBaltimore, MD 21201-5505 · (410) 837-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 17, 2018
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
✔ NPI 1285100297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MD · R186651✔ Licensed in NJ · 26NJ00858900
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.
5500 KNOLL NORTH DR STE 370, Columbia, MD 21045

Secondary Practice Location 1

Location 1275 Hobart StPerth Amboy, NJ 08861-3396 · Phone (732) 376-6635

Accepted 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

Susan T Riley Np 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 ID446504328
PECOS Enrollment IDI20211020003154
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

2

Medicare enrollment records show Susan Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1111 NORTH CHARLES STREET
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 213 clinicians in this Medicare group
Hospice and Palliative Medicine
292 STONER AVE
Westminster, MD 21157
  • Reassigned Medicare billing, Maryland enrollment
  • 30 clinicians in this Medicare group

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 21045 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Family Medicine
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Social Worker (School)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Dentist (General Practice)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Social Worker (Clinical)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045
Nurse Practitioner (Psychiatric/Mental Health)
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD 21045

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 Susan Riley's NPI number?

The NPI number for Susan Riley is 1285100297. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Susan Riley located?

Susan Riley practices at 5500 Knoll North Dr Ste 370, Columbia, MD 21045. The listed phone number is (410) 837-2050.

What is Susan Riley's specialty?

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

Is Susan Riley enrolled in Medicare?

Yes. Susan 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 organizations bill Medicare for Susan Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Riley reassigns Medicare benefits to 2 organizations: Chase Brexton Health Services, Inc. (Baltimore, MD) and Bridginglife, Inc. (Westminster, MD). 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 Susan Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Riley accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Susan 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 Susan Riley was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.