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SEAN PATRICK RILEY NP
NPI 1619567997
Nurse Practitioner - Gerontology in Somerville, NJ

Active since January 21, 2021PECOS EnrolledAccepts Medicare Assignment
128 REHILL AVE STE 1100, SOMERVILLE, NJ 08876(908) 243-8647 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2024, Jan 21, 2021 (2 updates tracked since 2021).

About Sean Patrick Riley Np NPPES

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

SEAN PATRICK RILEY NP (NPI 1619567997) is an individual gerontology provider in Somerville, New Jersey, licensed in New Jersey (26NJ01319400) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619567997
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameSEAN PATRICK RILEYCredential: NP
Location Address128 REHILL AVE STE 1100Somerville, NJ 08876-2519
Mailing Address128 Rehill Ave Ste 1100Somerville, NJ 08876-2519 · (908) 243-8647
Phone(908) 243-8647
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 21, 2021
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1619567997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ01319400
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2021002287 (MO)
128 REHILL AVE STE 1100, Somerville, NJ 08876
Open in Google Maps ↗

Secondary Practice Location 1

Location 11225 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 977-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Patrick Riley Np 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 ID5799190047
PECOS Enrollment IDI20240124000406
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 2

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

ALICIA KEVETTE ROGERS
Nurse Practitioner (Women's Health)
128 REHILL AVE STE 1100
SOMERVILLE, NJ 08876
Somerset County (908) 243-8647
DR. SAMEH ABDELAAL M.D.
Internal Medicine (Infectious Disease)
128 REHILL AVE STE 1100
SOMERVILLE, NJ 08876
Somerset County (908) 243-8647

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 Riley's NPI number?

The NPI number for Sean Riley is 1619567997. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Sean Riley located?

Sean Riley practices at 128 Rehill Ave Ste 1100, Somerville, NJ 08876. The listed phone number is (908) 243-8647.

What is Sean Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sean Riley enrolled in Medicare?

Yes. Sean 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.

What insurance does Sean Riley accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sean 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 Sean Riley was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.