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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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

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

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.

Medicare Billing Reassignments

10

Medicare enrollment records show Shaundra Riley reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Professional Association
Same address
Emergency Medicine
4300 MARKETPOINTE DRIVE, SUITE 100
Bloomington, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 328 clinicians in this Medicare group
NPI 1801871934 (952) 835-9880
North Memorial Health Care
8.7 mi
Primary Care
15450 HIGHWAY 7
Minnetonka, MN 55345
  • Reassigned Medicare billing, Minnesota enrollment
  • 540 clinicians in this Medicare group
NPI 1952732729 (763) 581-8900
Mayo Clinic Health System-Southeast Minnesota Region
33 mi
Multi-Specialty
32021 COUNTY ROAD 24 BLVD.
Cannon Falls, MN 55009
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1497281695 (507) 263-6000
Mayo Clinic Health System-Lake City
59 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321
Olmsted Medical Center
73 mi
Clinic/Center
210 9TH ST SE
Rochester, MN 55904
  • Reassigned Medicare billing, Minnesota enrollment
  • 379 clinicians in this Medicare group
NPI 1952356297 (507) 288-3443
Avera Granite Falls
109 mi
Critical Access
345 10TH AVE
Granite Falls, MN 56241
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1700429644 (Minnesota)
  • 66 clinicians in this Medicare group
NPI 1700429610 (320) 564-3111
Alomere Health
121 mi
Family Medicine
610 30TH AVE W
Alexandria, MN 56308
  • Reassigned Medicare billing, Minnesota enrollment
  • 137 clinicians in this Medicare group
NPI 1477428803 (320) 763-5123
St Mary's Regional Health Center
156 mi
Rural Health
212 ASPEN AVE NE
Menahga, MN 56464
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Marys Regional Health Center
  • 254 clinicians in this Medicare group
NPI 1467798322 (218) 564-4131
Olathe Health Physicians, Inc.
422 mi
Physical Therapist
20333 W 151ST ST
Olathe, KS 66061
  • Reassigned Medicare billing, Kansas enrollment
  • 273 clinicians in this Medicare group
NPI 1972973683 (913) 791-4461
Sound Physicians Emergency Medicine Of Kansas, LLC
425 mi
Emergency Medicine
1823 COLLEGE AVE
Manhattan, KS 66502
  • Reassigned Medicare billing, Kansas enrollment
  • 106 clinicians in this Medicare group
NPI 1831689934 (785) 776-3322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
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
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (457) 495-2767
DR. CHARLES HIGGINS BROWER MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
ZACHARY TAYLOR DO
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
DR. TONY KONG VANG MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
BRIAN BRISTOL DO
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
AARON GOERGER DO
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
LAUREN DEGN PA-C
Physician Assistant
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
JORDAN SELL MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574

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 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.

Where is Shaundra Riley located?

Shaundra Riley practices at 4300 Market Pte Dr Ste 100, Bloomington, MN 55435. The listed phone number is (925) 767-4574.

What is Shaundra Riley's specialty?

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

Is Shaundra Riley enrolled in Medicare?

Yes. Shaundra 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 Shaundra Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaundra Riley reassigns Medicare benefits to 10 organizations: Emergency Physicians Professional Association (Bloomington, MN), North Memorial Health Care (Minnetonka, MN), Mayo Clinic Health System-Southeast Minnesota Region (Cannon Falls, MN), Mayo Clinic Health System-Lake City (Lake City, MN), Olmsted Medical Center (Rochester, MN) and 5 more organizations, listed in the Medicare section above. 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 Shaundra Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shaundra Riley affiliated with any hospitals?

According to CMS data, Shaundra Riley is affiliated with Olmsted Medical Center and Essentia Health St Marys - Detroit Lakes.

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 16 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.