1. Home
  2. Directory
  3. West Virginia
  4. Camden On Gauley
  5. Family Medicine
  6. NPI Profile

SEAN PATRICK MARSHALL RILEY NURSE PRACTITIONER
NPI 1548867997
Family Medicine in Camden On Gauley, WV

Active since October 07, 2020PECOS EnrolledAccepts Medicare Assignment
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208(304) 226-5725 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2024, Mar 26, 2021, Mar 13, 2021 and 1 more (4 updates tracked since 2020).

About Sean Patrick Marshall Riley Nurse Practitioner NPPES

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

SEAN PATRICK MARSHALL RILEY NURSE PRACTITIONER (NPI 1548867997) is an individual family medicine provider in Camden On Gauley, West Virginia, licensed in West Virginia (104996) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1548867997
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN PATRICK MARSHALL RILEYCredential: NURSE PRACTITIONER
Location Address10003 WEBSTER RDCamden On Gauley, WV 26208-7713
Mailing Address99 Cracker Barrel Dr Ste 100Barboursville, WV 25504-1650 · (304) 525-7851
Phone(304) 226-5725
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 7, 2020
Last NPPES UpdateSeptember 4, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1548867997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 104996
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10003 WEBSTER RD, Camden On Gauley, WV 26208
Open in Google Maps ↗

Secondary Practice Location 1

Location 1511 Morris StCharleston, WV 25301-1326 · Phone (304) 525-7851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Sean Patrick Marshall Riley Nurse Practitioner 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 ID3476952540
PECOS Enrollment IDI20210521000347
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 Sean Patrick Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camden On Gauley Medical Center Inc
0.1 mi
Federally Qualified Health Center (FQHC)
10003 WEBSTER RD
Camden On Gauley, WV 26208
  • Reassigned Medicare billing, West Virginia enrollment
  • 41 clinicians in this Medicare group
NPI 1598749244 (304) 226-5725
Prestera Center For Mental Health Services Inc
90 mi
Community/Behavioral Health
99 CRACKER BARREL DR STE 100
Barboursville, WV 25504
  • Reassigned Medicare billing, West Virginia enrollment
  • 77 clinicians in this Medicare group
NPI 1356336903 (304) 525-7851

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.

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.
88 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26208 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

MRS. HEATHER DAWN GLASKO-TULLY MSN, APRN, NP-C, FNP
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
KARA HOLDREN
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
MRS. SARAH DAWN SKAGGS CNM
Advanced Practice Midwife
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
DR. CRYSTAL MINK PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
VIVIAN JEAN CARR PA-C
Physician Assistant
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
TONYA RACHEL YOUNG FNP
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
ANNA MARIE PHILPOTT APRN
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
LISA ELLEN HENTHORN LPC, NCC
Counselor (Professional)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725

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 Sean Patrick Riley's NPI number?

The NPI number for Sean Patrick Riley is 1548867997. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Sean Patrick Riley located?

Sean Patrick Riley practices at 10003 Webster Rd, Camden On Gauley, WV 26208. The listed phone number is (304) 226-5725.

What is Sean Patrick Riley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sean Patrick Riley enrolled in Medicare?

Yes. Sean Patrick 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 Sean Patrick Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Patrick Riley reassigns Medicare benefits to 2 organizations: Camden On Gauley Medical Center Inc (Camden On Gauley, WV) and Prestera Center For Mental Health Services Inc (Barboursville, WV). 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 Sean Patrick Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Patrick Riley accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Sean Patrick 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.

Is Sean Patrick Riley affiliated with any hospitals?

According to CMS data, Sean Patrick Riley is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Patrick Riley was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.