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LAUREN ELISE RILEY NP
NPI 1558730333
Nurse Practitioner in Salem, MA

Active since September 22, 2015PECOS Enrolled
55 HIGHLAND AVE, SALEM, MA 01970(978) 345-4010 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2024, Sep 19, 2019, Sep 3, 2019 and 21 more (24 updates tracked since 2016).

About Lauren Elise Riley Np NPPES

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

LAUREN ELISE RILEY NP (NPI 1558730333) is an individual nurse practitioner in Salem, Massachusetts, licensed in North Carolina (5007979) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1558730333
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAUREN ELISE RILEYCredential: NP
Location Address55 HIGHLAND AVESalem, MA 01970-2185
Mailing Address81 Highland AveSalem, MA 01970-2714
Phone(978) 345-4010
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 22, 2015
Last NPPES UpdateDecember 17, 202424 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1558730333 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 NC · 5007979
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.
55 HIGHLAND AVE, Salem, MA 01970
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Other Names 1

Former Name (1)Lauren Elise Swett Np

Secondary Practice Locations 5

Location 1501 Billingsley Rd, Suite BCharlotte, NC 28211-1009 · Phone (704) 444-2400
Location 24525 Cameron Valley Pkwy, Suite 1600Charlotte, NC 28211-4369 · Phone (704) 512-3800
Location 31025 Morehead Medical Dr, Suite 200Charlotte, NC 28204-2963 · Phone (704) 355-0607
Location 41350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1242
Location 5501 Billingsley Rd, Suite ACharlotte, NC 28211-1009 · Phone (704) 444-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Elise Riley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911207451
PECOS Enrollment IDI20190903001131
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 Lauren Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mass General Brigham Medical Group Northern Massachusetts Inc
0.2 mi
Emergency Medicine
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 994 clinicians in this Medicare group
NPI 1588606123 (978) 354-4173
North Shore Medical Center, Inc.
0.2 mi
General Acute Care Hospital
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 94 clinicians in this Medicare group
NPI 1730121633 (978) 354-2065

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
480 services61 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
139 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services30 patients

Hospital Affiliations CMS Care Compare

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

HEATHER BREEN NORE COUNSELING INTERN
Counselor (Mental Health)
55 HIGHLAND AVE
SALEM, MA 01970
Essex County (978) 573-4310
ANTOINE M SALVADOR MA
Student in an Organized Health Care Education/Training Program
55 HIGHLAND AVE, HIGHLAND HALL
SALEM, MA 01970
Essex County (978) 825-6685
RONALD C HARTFELDER MD
Internal Medicine (Gastroenterology)
55 HIGHLAND AVE, STE 304
SALEM, MA 01970
Essex County (978) 741-4171
DANIEL CARROLL HAGAN DO
Internal Medicine (Pulmonary Disease)
55 HIGHLAND AVE, SUITE 104
SALEM, MA 01970
Essex County (978) 745-4489
STEPHEN BRAUNINGER
Audiologist
55 HIGHLAND AVE, SUITE 201
SALEM, MA 01970
Essex County (978) 745-6601
SOUND CHOICE INC
Hearing Aid Equipment
55 HIGHLAND AVE, SUITE 201
SALEM, MA 01970
Essex County (978) 740-6699
JULIA MOSKOWITZ PSYD
Psychologist (Clinical)
55 HIGHLAND AVE, SUITE 201
SALEM, MA 01970
Essex County (978) 825-6620
DR. CHALINI JAYASEKERA PSYD
Psychologist (Clinical)
55 HIGHLAND AVE
SALEM, MA 01970
Essex County (978) 825-6677

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 Lauren Riley's NPI number?

The NPI number for Lauren Riley is 1558730333. It was assigned to this individual provider in the NPPES registry on September 22, 2015. The provider is also known as Lauren Elise Swett Np.

Where is Lauren Riley located?

Lauren Riley practices at 55 Highland Ave, Salem, MA 01970. The listed phone number is (978) 345-4010.

What is Lauren Riley's specialty?

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

Is Lauren Riley enrolled in Medicare?

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

Which organizations bill Medicare for Lauren Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Riley reassigns Medicare benefits to 2 organizations: Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA) and North Shore Medical Center, Inc. (Salem, MA). 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 Lauren Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Riley accept?

Health plans from Harvard Pilgrim Health Care and WellSense Health Plan list Lauren 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 Lauren Riley affiliated with any hospitals?

According to CMS data, Lauren Riley is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Lauren Riley was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.