1. Home
  2. Directory
  3. Alaska
  4. Juneau
  5. Dietitian Registered
  6. NPI Profile

RILEY K O'CONNOR RDN, LN
NPI 1639708803
Dietitian, Registered in Juneau, AK

Active since April 08, 2020Accepts Medicare Assignment
1200 SALMON CREEK LN, ROOM 130, JUNEAU, AK 99801(906) 361-0612 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Riley K O'connor Rdn, Ln NPPES

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

RILEY K O'CONNOR RDN, LN (NPI 1639708803) is an individual dietitian, registered in Juneau, Alaska, licensed in Alaska (158667) and active in the NPI registry since April 2020. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1639708803
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameRILEY K O'CONNORCredential: RDN, LN
Location Address1200 SALMON CREEK LN, ROOM 130Juneau, AK 99801-4985
Mailing Address5004 Steelhead StJuneau, AK 99801-8730
Phone(906) 361-0612
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1639708803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AK · 158667
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1200 SALMON CREEK LN, Juneau, AK 99801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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 K O'connor Rdn, Ln 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 ID42640104
PECOS Enrollment IDI20200414001425

Medicare Billing Reassignment

Medicare enrollment records show Riley O'connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South East Alaska Regional Health Consortium
Same address
Clinic/Center
1200 SALMON CREEK LANE
Juneau, AK 99801
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Southeast Alaska Regional Health Consortium
  • 640 clinicians in this Medicare group
NPI 1942284765 (907) 463-4040

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 99801 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
$0.00 typical visit price
range $71.33 – $222.64
Typical copayment $0.00 (range $17.83 – $55.66)
Most-billed visit code NA
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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 11

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

ADELE C. G. DAVIS PHARM.D., BCACP
Pharmacist
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (907) 463-4031
GABRIELLA ROBIN MOORE DNP, FNP-C
Nurse Practitioner (Family)
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (907) 463-4040
JOSHUA D BOUCHER DO
Family Medicine
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (907) 463-4040
PAIGE ALEXIS HANSON DPT
Physical Therapist
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (630) 363-1377
SYDNEY M HEIMBIGNER
Dietitian, Registered
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (907) 463-4040
MICHAEL DOW PHARMD
Pharmacist (Ambulatory Care)
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (907) 463-4030
LISSETTE CARRERA
Physician Assistant
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (907) 463-4040
SADIE ELIZABETH MEYER MS, RDN, LDN
Dietitian, Registered
1200 SALMON CREEK LN
JUNEAU, AK 99801
Juneau City And Borough (907) 364-4476

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 O'connor's NPI number?

The NPI number for Riley O'connor is 1639708803. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Riley O'connor located?

Riley O'connor practices at 1200 Salmon Creek Ln Room 130, Juneau, AK 99801. The listed phone number is (906) 361-0612.

What is Riley O'connor's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Riley O'connor enrolled in Medicare?

Yes. Riley O'connor 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 organization bills Medicare for Riley O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley O'connor reassigns Medicare benefits to South East Alaska Regional Health Consortium (Juneau, AK). The 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 O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riley O'connor accept?

Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Riley O'connor 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 O'connor was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.