1. Home
  2. Directory
  3. New Jersey
  4. Marlton
  5. Nurse Practitioner
  6. NPI Profile

KAREN M RILEY APN-C
NPI 1639413073
Nurse Practitioner - Family in Marlton, NJ

Active since November 26, 2012PECOS EnrolledAccepts Medicare Assignment
360 ROUTE 73 S, MARLTON, NJ 08053(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2022, Feb 25, 2022, Mar 28, 2017 (3 updates tracked since 2017).

About Karen M Riley Apn-c NPPES

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

KAREN M RILEY APN-C (NPI 1639413073) is an individual family provider in Marlton, New Jersey, licensed in New Jersey (26NJ00405700) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1639413073
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN M RILEYCredential: APN-C
Location Address360 ROUTE 73 SMarlton, NJ 08053-2004
Mailing Address121 N Church StMoorestown, NJ 08057-2424 · (856) 644-6941
Phone(866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 26, 2012
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1639413073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00405700
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License SP012574 (PA)
360 ROUTE 73 S, Marlton, NJ 08053
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Karen M Riley Apn-c 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 ID9436302171
PECOS Enrollment IDI20130109000357
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

5

Medicare enrollment records show Karen Riley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dragonfly Health Turnersville
13 mi
Family
151 FRIES MILL RD STE 104
Turnersville, NJ 08012
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Dragon Fly Health Turnersville
  • 6 clinicians in this Medicare group
NPI 1477196707 (856) 312-3057
Essential Diagnostics, P.A.
35 mi
Internal Medicine
8 FORRESTAL RD S
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Essential Diagnostics, PA
  • 7 clinicians in this Medicare group
NPI 1376245753 (732) 789-3139
Central Jersey Urgent Care
52 mi
Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1316285091 (732) 455-8444
The Radiology Group Of New Jersey, LLC
67 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621
Drx Paramus, LLC
87 mi
Urgent Care
67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
NPI 1316272685 (201) 262-2010

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 8

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 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.
157 services126 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
48 services24 patients
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.
34 services33 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
31 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 4

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

KIM LISA BRUNNET APRN
Nurse Practitioner
360 ROUTE 73 S
MARLTON, NJ 08053
Burlington County (186) 638-9272
MRS. LINDSAY RIGGS A.P.N.
Nurse Practitioner (Family)
360 ROUTE 73 S
MARLTON, NJ 08053
Burlington County (856) 596-7010
MRS. ANNA SHVARTSMAN
Nurse Practitioner (Family)
360 ROUTE 73 S, MINUTECLINIC
MARLTON, NJ 08053
Burlington County (866) 389-2727
NEW JERSEY CVS PHARMACY LLC
Pharmacy
360 ROUTE 73 S
MARLTON, NJ 08053
Burlington County (856) 596-7010

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 Karen Riley's NPI number?

The NPI number for Karen Riley is 1639413073. It was assigned to this individual provider in the NPPES registry on November 26, 2012.

Where is Karen Riley located?

Karen Riley practices at 360 Route 73 S, Marlton, NJ 08053. The listed phone number is (866) 389-2727.

What is Karen Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Riley enrolled in Medicare?

Yes. Karen 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 Karen Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Riley reassigns Medicare benefits to 5 organizations: Dragonfly Health Turnersville (Turnersville, NJ), Essential Diagnostics, P.A. (Princeton, NJ), Central Jersey Urgent Care (Ocean, NJ), The Radiology Group Of New Jersey, LLC (Hackettstown, NJ) and Drx Paramus, LLC (Paramus, NJ). 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 Karen Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Riley accept?

Health plans from Oscar Health list Karen 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 Karen Riley was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.