MRS. SHAUNDRA RILEY WHNP-BC, FNP-BC,ENP
NPI 1295157634
Nurse Practitioner in Bloomington, MN

Q: What is Shaundra Riley's NPI number?

The NPI number for Shaundra Riley is 1295157634. It was assigned to this individual provider in the NPPES registry on January 18, 2014.

Q: What is Shaundra Riley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaundra Riley was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since January 18, 2014PECOS EnrolledAccepts Medicare Assignment

4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435(925) 767-4574 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Jan 7, 2025, Apr 22, 2022 and 2 more (5 updates tracked since 2016).

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About Mrs. Shaundra Riley Whnp-bc, Fnp-bc,enp NPPES

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

MRS. SHAUNDRA RILEY WHNP-BC, FNP-BC,ENP (NPI 1295157634) is an individual nurse practitioner in Bloomington, Minnesota, licensed in Minnesota (6711) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Olmsted Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295157634

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. SHAUNDRA RILEYCredential: WHNP-BC, FNP-BC,ENP

Location Address4300 MARKET PTE DR STE 100Bloomington, MN 55435-5435

Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (925) 767-4574

Phone(925) 767-4574

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 18, 2014

Last NPPES UpdateJune 13, 20255 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1295157634 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 MN · 6711

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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2016036656 (MO), 53-76188-122 (KS)

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 2013034497 (MO), 53-76188-122 (KS)

4300 MARKET PTE DR STE 100, Bloomington, MN 55435

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Secondary Practice Locations 2

Location 11650 4th St SERochester, MN 55904-4717 · Phone (507) 529-6600

Location 2111 17th Ave EAlexandria, MN 56308-5273 · Phone (320) 763-5123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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

Mrs. Shaundra Riley Whnp-bc, Fnp-bc,enp 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 ID143453225

PECOS Enrollment IDI20220422001345

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

20 services20 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Olmsted Medical Center

Acute Care Hospitals · Rochester, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240006

Location1650 Fourth Street SoutheastRochester, MN 55904 · Olmsted County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

MICHAEL CHARLES LICK

Physician Assistant