DONNA L RILEY APRN
NPI 1417940974
Clinical Nurse Specialist - Medical-Surgical in Columbia, MO

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
84.75/100
CMS Quality Rating
1 S KEENE ST, COLUMBIA, MO 65201(573) 443-2402(573) 443-0574 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donna L Riley Aprn NPPES

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

DONNA L RILEY APRN (NPI 1417940974) is an individual medical-surgical provider in Columbia, Missouri, licensed in Missouri (110307) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1417940974
Entity TypeIndividualFemale
Primary Taxonomy364SM0705X
Provider Legal NameDONNA L RILEYCredential: APRN
Location Address1 S KEENE STColumbia, MO 65201-7199
Mailing Address1 S Keene StColumbia, MO 65201-7199 · (573) 443-2402 · Fax (573) 443-0574
Fax(573) 443-0574
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 30, 2005
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1417940974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Medical-SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SM0705X
License✔ Licensed in MO · 110307
1 S KEENE ST, Columbia, MO 65201

Other Names 1

Former Name (1)Donna Riley Smith

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

Donna L Riley Aprn 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 ID2668433103
PECOS Enrollment IDI20041019000884
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 Reassignment

Medicare enrollment records show Donna Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
1 S KEENE ST
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 110 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.

Areas of Expertise CMS Part B claims 2

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.

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
20 services20 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

84.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability85
Improvement Activities40
Cost76.68

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.

Physician Assistant
1 S KEENE ST
COLUMBIA, MO 65201
Orthopaedic Surgery
1 S KEENE ST
COLUMBIA, MO 65201
Pharmacist
1 S KEENE ST
COLUMBIA, MO 65201
Family Medicine (Sports Medicine)
1 S KEENE ST
COLUMBIA, MO 65201
Physician Assistant
1 S KEENE ST
COLUMBIA, MO 65201
Specialist/Technologist (Athletic Trainer)
1 S KEENE ST, COLUMBIA ORTHOPEDIC GROUP
COLUMBIA, MO 65201
Pain Medicine (Interventional Pain Medicine)
1 S KEENE ST
COLUMBIA, MO 65201
Nurse Practitioner (Family)
1 S KEENE ST
COLUMBIA, MO 65201

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 Donna Riley's NPI number?

The NPI number for Donna Riley is 1417940974. It was assigned to this individual provider in the NPPES registry on August 30, 2005. The provider is also known as Donna Riley Smith.

Where is Donna Riley located?

Donna Riley practices at 1 S Keene St, Columbia, MO 65201. The listed phone number is (573) 443-2402.

What is Donna Riley's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Medical-Surgical, with taxonomy code 364SM0705X.

Is Donna Riley enrolled in Medicare?

Yes. Donna 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 organization bills Medicare for Donna Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Riley reassigns Medicare benefits to Columbia Orthopaedic Group, LLP (Columbia, MO). The 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 Donna Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Riley accept?

Health plans from Anthem Blue Cross and Blue Shield list Donna 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 Donna Riley was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.