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RILEY MAKENA LAUB
NPI 1366392300
Physician Assistant - Surgical in Springfield, MO

Active since January 30, 2026PECOS Enrolled
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807(000) 000-0000 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2026, Jan 30, 2026 (2 updates tracked since 2026).

About Riley Makena Laub NPPES

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

RILEY MAKENA LAUB (NPI 1366392300) is an individual surgical provider in Springfield, Missouri and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366392300
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameRILEY MAKENA LAUB
Location Address3800 S NATIONAL AVE STE 600Springfield, MO 65807-5249
Mailing AddressPo Box 7411626Chicago, IL 60674-5626
Phone(000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 30, 2026
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1366392300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
3800 S NATIONAL AVE STE 600, Springfield, MO 65807
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7113408212
PECOS Enrollment IDI20260226002316
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.

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.

JORDAN CLOUD PA
Physician Assistant
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (000) 000-0000
JESSICA L HARMON
Physician Assistant (Surgical)
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (000) 000-0000
MELINDA DAWN GRANT BS, RN, BSN, FNP-C
Nurse Practitioner
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (417) 875-3276
DANIEL ALLEN BRAVIN MD
Orthopaedic Surgery (Orthopaedic Trauma)
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (417) 875-3846
JESSICA ZENGEL PA
Physician Assistant
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (000) 000-0000
MARIYA KOCHUBEY MD
Surgery
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (000) 000-0000
LINDSEY NICOLE BRAVIN M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (417) 875-3846
CHANDLER REBECCA LEE MONGERSON PA
Physician Assistant
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Greene County (000) 000-0000

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 Riley Laub's NPI number?

The NPI number for Riley Laub is 1366392300. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Riley Laub located?

Riley Laub practices at 3800 S National Ave Ste 600, Springfield, MO 65807. The listed phone number is (000) 000-0000.

What is Riley Laub's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Riley Laub enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Riley Laub was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.