RILEY CARLTON WADE GROGAN
NPI 1477437283
Nurse Practitioner in Caraway, AR

Active since August 04, 2025PECOS EnrolledAccepts Medicare Assignment
104 W STATE ST, CARAWAY, AR 72419(870) 956-0200 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Riley Carlton Wade Grogan NPPES

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

RILEY CARLTON WADE GROGAN (NPI 1477437283) is an individual nurse practitioner in Caraway, Arkansas, licensed in Arkansas (232785) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477437283
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRILEY CARLTON WADE GROGAN
Location Address104 W STATE STCaraway, AR 72419-8553
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002 · (870) 856-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1477437283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · 232785
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.
104 W STATE ST, Caraway, AR 72419

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

Riley Carlton Wade Grogan 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 ID7214435916
PECOS Enrollment IDI20250812002219
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 Riley Grogan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
1248 W KEISER AVE
Osceola, AR 72370
  • Reassigned Medicare billing, Arkansas enrollment
  • 150 clinicians in this Medicare group
Rural Health
106 N VAN BUREN ST
Weiner, AR 72479
  • Reassigned Medicare billing, Arkansas enrollment
  • 117 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 72419 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
104 W STATE ST
CARAWAY, AR 72419
Nurse Practitioner (Family)
104 W STATE ST
CARAWAY, AR 72419
Nurse Practitioner (Family)
104 W STATE ST
CARAWAY, AR 72419
Nurse Practitioner (Family)
104 W STATE ST
CARAWAY, AR 72419
Nurse Practitioner (Family)
104 W STATE ST
CARAWAY, AR 72419

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 Grogan's NPI number?

The NPI number for Riley Grogan is 1477437283. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Riley Grogan located?

Riley Grogan practices at 104 W State St, Caraway, AR 72419. The listed phone number is (870) 956-0200.

What is Riley Grogan's specialty?

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

Is Riley Grogan enrolled in Medicare?

Yes. Riley Grogan 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 Riley Grogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Grogan reassigns Medicare benefits to 2 organizations: Access Medical Clinic Arkansas LLC (Osceola, AR) and Access Medical Clinic Arkansas Ltc LLC (Weiner, AR). 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 Riley Grogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riley Grogan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Riley Grogan 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 Riley Grogan was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.